江苏省综合性医院临床医生对新医改认知研究
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南京医科大学医政学院

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2014年度国家社会科学《医药卫生体制改革中多方主体沟通平台的建构研究》14BSH114


Investigation on clinical doctors’ perception of new health care reform in Jiangsu Province
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School of Health Policy & Management, Nanjing Medical University

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    摘要:

    目的:了解江苏省综合性医院临床医生对新医改现状的看法,评价新医改在江苏省内的实施进展和效果,发现存在问题并提出相应的解决措施。方法:选取新医改部分重点问题,采用自设计问卷,调查江苏省内7家三级综合性医院和7家二级综合性医院临床医生,运用描述性分析和卡方检验辅助分析研究结果。结论:66.5%的医生更希望政府医改经费投入能侧重于医务人员劳动收入;对家庭医生签约服务的认知度及成效评价低于分级诊疗及医联体建设;约29%医生认为医患关系和看病难看病贵问题略有改善。需正确认识医务人员认知差异及原因;重视医务人员权益、优化薪酬管理制度;加强家庭医生签约服务的宣传和推广;丰富医联体间活动形式;建立及时有效的政策反馈机制。

    Abstract:

    Objective: To investigate clinical doctors’ perception of new health care reform in Jiangsu Province, to evaluate the effect of new medical reform in Jiangsu Province,find the existing problems and propose specific suggestions.Methods:A self-designed questionnaire was employed to investigate clinical doctors’ perspective in seven tertiary hospitals and seven secondary hospitals. The descriptive analysis and chi-square test were computed to assess the results.Conclusion: 66.5% of doctors prefer the government"s spending on health care to focus on the labor income of medical workers. The recognition and effectiveness evaluation of the family doctor"s contract service is lower than that of the graded diagnosis and treatment and the construction of medical association. 29% doctors believe that the problem of doctor-patient relationship and the difficulty of seeing a doctor is slightly improved. Attach importance to the rights and interests of medical workers and optimize the compensation management system; Strengthen the promotion and promotion of family doctor signing service; To enrich the form of inter-body activity; Establish a timely and effective policy feedback mechanism.

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  • 收稿日期:2018-03-04
  • 最后修改日期:2018-04-28
  • 录用日期:2018-08-27
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