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中国初级卫生保健:2020,34(4):12-15
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基层医生对基层医疗机构服务能力提升认知情况调查研究[基金项目:国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学)项目(NHC-HEPR2018008);贵州省发展和改革委员会委托项目。 ①贵州医科大学医药卫生管理学院 贵州 贵阳 550025 ②贵州城市职业学院医护学院 贵州 贵阳 550025 ③贵州医科大学贵州省卫生发展研究院 贵州 贵阳 550025 通讯作者 ]
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中文摘要: 目的 了解贵州省基层医生对基层医疗机构服务能力提升的认知情况,为基层医疗机构服务能力提升制定政策提供参考。 方法 采用分层随机抽样选取贵州省内9个地(市/州)基层医疗机构医生共430人进行问卷调查。 结果 基层医生对基层医疗机构服务能力提升总体认知程度较高(86.1%),医生的性别、年龄、月收入、认为上级医院帮扶对基层医疗机构服务能力提升的有利程度、对接受上级医院帮扶的必要程度、对基层医疗机构与上级医院建立的医联体/医共体了解度和上级医院帮扶的最佳形式对基层医疗机构服务能力提升的认知情况有影响。 结论 上级帮扶作用较大,但基层医疗机构医务人员无医疗技能的学习机会且机构重视培训程度不足,短期内难以提高其服务质量并无法满足辖区内患者的医疗卫生需求,建议高度重视和加强基层医疗机构人员的培训、推行同质化医学教育的培养模式、探索服务模式的转变和服务内容的延伸以及健全相关配套机制。
中文关键词: 贵州省  医生  基层医疗机构  服务能力  提升
Abstract:Abstract A survey of grassroots doctors' awareness of the service capacity improvement of primary medical institutions/LI Xing-xing,Zhang Ting, Wang Zheng,et al.//Chinese Primary Health Care,2020,34(4):00-00 Abstract OBJECTIVE To understand the awareness of primary doctors of Guizhou Province on the improvement of service capabilities of primary medical institutions, and provide a reference for the formulation of policies for improving the service capabilities of primary medical institutions. METHODS A stratified random sampling was used to select 430 doctors from 9 primary (city/state) primary medical institutions in Guizhou Province for questionnaire survey. RESULTS Doctors have a higher overall awareness of the service capacity of primary medical institutions (86.1%).After multiple linear regression analysis, gender,age,monthly income,favorable level of assistance from higher-level hospitals, the need to receive assistance from higher-level hospitals, grassroots The understanding of the medical association/medical community established by medical institutions and higher-level hospitals, and the best form of assistance from higher-level hospitals have an impact on the awareness of the service capacity of primary medical institutions. CONCLUSION Higher-level assistance has a greater role, but the medical staff of primary medical institutions do not have the opportunity to learn medical skills and the organization attaches insufficient training. It is difficult to improve their service quality in the short term and cannot meet the medical and health needs of patients in their jurisdictions. Training of personnel, training mode of promoting homogeneous medical education, exploring the change of service mode and extension of service content, and improving related supporting mechanisms.
文章编号:3202004004     中图分类号:R1-9    文献标志码:
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