北京丰台方庄社区卫生服务中心家庭医生式服务模式研究

发布时间：2018-05-18 21:21

本文选题：家庭医生式服务 + 现状　；参考：《中国地质大学（北京）》2014年硕士论文

【摘要】：2010年北京市率先在试点地区探索家庭医生式服务。方庄社区卫生服务中心2010年成为北京市家庭医生式服务的首批试点单位，以15个居委会为基点建立了15支家庭医生式服务团队，签约居民31816人。三年以来随着工作的开展人力资源相对不足、服务能力离社区居民期望还存在差距等一些问题逐渐显现出来。这些问题在上海、成都等其他地区家庭医生式服务实施过程中也有所反映。本文通过文献研究对国内外家庭医生模式研究情况进行了梳理，国外的家庭医生服务大多是建立在按人头预付及家庭医生首诊制基础之上的，而国内的研究多是集中在家庭医生式服务开展情况和存在问题的分析，对于家庭医生式服务模式的研究较少。本次以北京丰台方庄社区卫生服务中心为研究主体，通过随机抽样的方法，对方庄社区300名居民进行问卷调查，获知其对家庭医生式服务的知晓情况、需求、满意度和利用度。对服务团队43名主要成员问卷调查，获得家庭医生式服务提供量、培训需求、职业发展满意度等。以小组访谈的形式对方庄社区街道办事处和居委会负责人进行访谈，了解其对此项工作开展的意见和建议。对服务团队5名总队长进行访谈，了解实施过程中遇到的主要问题及想法。通过对结果的统计分析，结合公共管理相关理论，，分析出现有服务模式存在组织结构不完善、人员不足、缺乏配套运行机制以及信息化程度不高的问题。通过分析社区卫生服务核心竞争力，从调整组织结构、建设规范的家庭医生式服务诊疗流程、完善机制建设、建立配套保障四方面构建了方庄家庭医生式服务模式。该模式符合方庄社区卫生服务中心自身发展特点，使医生和签约居民之间形成相对固定的服务关系，建立了有序就医的诊疗秩序，对改善目前医患关系提供了有效的措施，突出了社区卫生服务的核心竞争力,将有力提高家庭医生的服务能力和对签约居民的健康管理水平。同时，由于我国家庭医生式服务尚处于起步阶段，是社区卫生服务发展的新生事物，相关的管理体系、运行机制和政策法规也在不断的完善和修订中。本次研究对家庭医生式服务这项惠民措施进一步扎实推进提出的相关建议将对其他地区类似服务模式的构建产生一定借鉴作用。
[Abstract]:In 2010, Beijing was the first to explore family doctor service in the pilot area. The Fangzhuang community health service center was the first pilot unit of family doctor service in Beijing in 2010, and 15 family doctor service teams were set up on the basis of the 15 neighborhood committees, and 31816 people were signed. In the past three years, the human resources were carried out with the work. Some problems, such as the gap between the service capacity and the community's expectations, are emerging. These problems are also reflected in the implementation of family doctor services in other areas, such as Shanghai, Chengdu and other areas.
In this paper, the study of family doctors at home and abroad is combed through literature research. Most of the family doctor services abroad are based on the prepayment and the family doctor's first consultation, while the domestic research is concentrated on the analysis of the situation and problems of the family doctor service and the family doctor service. The study was less. This time, taking the Fengtai Fangzhuang community health service center in Fengtai, Beijing as the research subject, a questionnaire survey was conducted on 300 residents in Fangzhuang community by random sampling, and the knowledge, demand, satisfaction and utilization of the family doctor service were obtained. The questionnaire survey on the 43 main members of the service team was obtained. In the form of a group interview, interviews were conducted between the District Office of the Zhuang community and the head of the neighborhood committee to understand their opinions and suggestions on the work. The main problems and ideas encountered in the implementation of the service team were interviewed by the 5 general captain of the service team.
Through the analysis of the results and the theory of public management, this paper analyzes the problems of imperfect organization structure, lack of personnel, lack of supporting operation mechanism and the low level of information in the service mode. Through the analysis of the core competitiveness of community health service, the construction of a standardized family doctor service diagnosis is built from the structure of the organization. The family physician service mode in Fangzhuang has been constructed in four aspects: the treatment process, the improvement of mechanism and the establishment of supporting guarantee.
The model conforms to the development characteristics of Fangzhuang community health service center, and makes a relatively fixed service relationship between doctors and contracted residents, establishes an orderly medical treatment order, provides effective measures to improve the current doctor-patient relationship, highlights the core competitiveness of community health services, and will effectively improve the service of family doctors. At the same time, as Chinese family doctor service is still in its infancy, it is a new thing in the development of community health service. The related management system, operation mechanism and policy and regulations are also being perfected and revised. This study further studies the benefits of family doctor service. Pushing forward the relevant suggestions will provide some reference for the construction of similar service models in other regions.
【学位授予单位】：中国地质大学（北京）
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.6

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