长沙市基于分级诊疗的契约式家庭医生制实施现状

发布时间：2018-04-29 06:00

本文选题：医师 + 家庭　；参考：《重庆医学》2017年30期

【摘要】：目的了解长沙市望城区契约式家庭医生制度的实施现状及影响因素。方法选取长沙市望城区6个实施家庭健康契约式服务的镇卫生院185例就诊患者和63名医务人员,就契约式家庭医生服务的发展现状和影响因素进行问卷调查。结果望城区居民对镇卫生院的总满意率为49.44%;对不同机构满意度差异情况进行分析,结果显示:在就医环境、服务态度和医疗设备设施上,6个镇卫生院满意度比较差异有统计学意义(P0.05);Logistic回归分析结果显示,候诊时间长短、诊疗价格、服务态度、病情解释、技术水平、诊疗效果是影响居民满意度的主要因素(P0.05);发展前景,工作量和时间的分配,公平性,工作风险是影响医务人员满意度的因素(P0.05)。结论望城区契约式家庭医生制度的实施过程中存在较多的困难和影响因素,可以从家庭医生岗位职责、家庭医生的绩效评价、医疗保险报销比例的分配等方面进行完善。
[Abstract]:Objective to understand the present situation and influencing factors of contract family doctor system in Wangcheng District of Changsha City. Methods 185 patients and 63 medical staff were selected from 6 town health centers in Wangcheng District of Changsha City to investigate the development status and influencing factors of contract family doctor service. Results the total satisfaction rate of the residents in Wangcheng District was 49.44, and the difference of satisfaction between different institutions was analyzed. In terms of service attitude and medical equipment and facilities, there were significant differences in satisfaction of six town hospitals by logistic regression analysis. The results showed that the waiting time, the price of diagnosis and treatment, the attitude of service, the explanation of illness, the level of technology, etc. The effect of diagnosis and treatment is the main factor affecting the satisfaction degree of residents (P0.05), and the development prospect, the distribution of workload and time, the fairness and the work risk are the factors that influence the satisfaction of the medical staff. Conclusion there are many difficulties and influencing factors in the implementation of contract family doctor system in Wangcheng area, which can be improved from the aspects of family doctor's duty, family doctor's performance evaluation, distribution of medical insurance reimbursement ratio, etc.
【作者单位】：长沙医学院公共卫生学院;广州市花都区人民医院;
【基金】：湖南省教育厅科学研究基金资助项目(16C0194) 长沙医学院校级教学改革研究项目(长医教[2016]29号) 国家级大学生创新创业训练计划项目(201610823009)
【分类号】：R197.1

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