基于RSR法的社区中医药服务能力评价研究

发布时间：2018-02-19 22:58

本文关键词： RSR法中医药服务能力评价　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:在大力推进中医药融入社区的政策形势下,以社区中医药服务为切入点,从人员、技术、服务、管理四个方面,设计一套科学、全面、符合当前社区卫生服务发展现状的社区中医药服务能力评价指标体系,专家对指标进行权重赋值后,运用RSR法对社区医疗机构中医药服务能力进行综合性评价,利用真实可信的数据和系统、科学的方法分析社区中医药服务能力以及主要影响因素,为社区中医药服务能力的提升提供参考性建议,使中医药在社区卫生服务中发挥更大的优势作用。方法:本研究运用随机抽样调查的研究方法,在哈尔滨市区随机抽取14家社区卫生服务中心作为此次抽样调查的对象。调查内容包括哈尔滨市社区卫生服务中心中医药服务的固定资产情况、中医药服务卫生人员基本情况、中医医疗服务情况、患者的满意度情况以及社区制度管理情况等。采用定性研究与定量研究相结合的方法,针对哈尔滨市社区卫生服务中心中医药服务能力的整体情况进行分析和探究。使用描述性统计方法对抽取的哈尔滨市样本社区卫生服务中心中医药服务能力现状进行描述分析,并运用RSR法对社区中医药服务能力进行综合评价。结果:通过秩和比法得到各社区的秩和比值,并进行排序、分档,最终按照较低、一般和较高等级质量分成3档。结果显示,中医药服务能力处于较低水平的社区卫生服务中心有3家,处于一般水平的社区卫生服务中心有8家,处于较高水平的有3家。有78.6%的社区卫生服务中心中医药服务能力综合评价在中上水平。结论:对调查的14家社区卫生服务中心中医药服务能力现状的数据进行统计分析,发现哈尔滨市社区卫生服务中心中医药服务能力薄弱的原因,主要体现在以下几个方面:(1)中医药卫生人员队伍不稳定;(2)社区中医药服务内容缺乏多样性;(3)患者对中医药服务满意度具有较高渴求;(4)绩效考核制度不完善,缺乏科学的岗位责任制度。
[Abstract]:Objective: to vigorously promote Chinese medicine into the community policy situation, the traditional Chinese medicine community service as the starting point, from the personnel, technology, services, four aspects of management, design a set of scientific, comprehensive, community traditional Chinese medicine service in line with the current development status of the community health service capacity evaluation index system, the expert weight assignment the index, using the RSR method for the comprehensive evaluation of community medical institutions of traditional Chinese medicine service ability, using authentic data and system factors, scientific methods to analyze community traditional Chinese medicine service ability and the main influence, provide the reference for community traditional Chinese medicine service ability, make TCM more play a dominant role in the community health service. Methods: in this study, by using the method of random sampling, in Harbin city were randomly selected from 14 community health service centers as the sampling survey of the Object. Fixed assets survey includes Harbin city community health service center of Chinese medicine services, the basic situation of Chinese medicine health service personnel, medical service medicine, patient satisfaction and community management system. The method of qualitative research and quantitative research combined, according to the overall situation of Chinese medicine service in Harbin City Community Health Service Center to carry on the analysis and research. A descriptive analysis descriptive statistical methods of traditional Chinese medicine service capacity sample in Harbin community health service center of extraction, and using RSR method to make a comprehensive evaluation on community traditional Chinese medicine service ability. Results: the rank and rank sum ratio of each community ratio method, and sort finally, the sub file, in accordance with the low and high grade quality, generally divided into 3 levels. The results showed that the ability of Chinese medicine services in low water The community health service center flat 3, in the community health service center, the general level of 8, at a high level of 3. A comprehensive evaluation of the ability of Chinese medicine services of 78.6% community health service center in the upper level. Conclusion: the status of heart medicine service ability of 14 community health service in the survey the data for statistical analysis, found the reasons for the weakness of the Harbin city community health service center of Chinese medicine service capacity, mainly reflected in the following aspects: (1) medical and health personnel is not stable; (2) community traditional Chinese medicine service in the lack of diversity; (3) patients have higher desire for Chinese medicine service satisfaction; (4) the performance appraisal system is not perfect, the lack of scientific system of post responsibility.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.61

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