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中国初级卫生保健:2021,35(3):22-25
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银川市家庭医生政策实施现况分析
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中文摘要: 目的:调查了解目前银川市家庭医生签约服务的现况,根据家庭医生签约服务发展过程中存在的问题提出相应的建议。方法:对银川市居民和社区医生采用问卷调查,随机抽取500名居民和20名社区医生作为调查对象,采用SPSS统计软件对数据进行描述性分析,单因素卡方检验和Logistic多因素回归分析后得出结论。结果:在Logistic多因素回归分析中,年龄、月收入、医疗费用支付方式、是否患有慢性疾病是签约家庭医生服务的影响因素。结论:目前银川市家庭医生签约服务政策实施效果已初见成效,值得继续深入推广。同时应加大政策宣传力度,提高居民认知程度,使签约服务落实到地,完善家庭医生绩效考核机制和激励机制。
Abstract:OBJECTIVE Investigate and understand the current status of the contracted services of family doctors in Yinchuan City, and put forward corresponding suggestions based on the problems existing in the development of the contracted services of family doctors.METHODS A questionnaire survey was used for residents and community doctors in Yinchuan City, 500 residents were randomly selected as survey subjects, and 20 community doctors were survey subjects. SPSS statistical software was used to perform descriptive analysis of data, single factor chi-square test and logistic multivariate regression analysis Then came to a conclusion.RESULTS In the logistic multivariate regression analysis, age, monthly income, payment methods for medical expenses, and chronic disease are the influencing factors for contracted family doctor services. CONCLUSION At present, the implementation effect of the Yinchuan family doctor's contract service policy has achieved initial results, and it is worth continuing to promote it. At the same time, policy publicity should be increased, residents' awareness should be improved, contracted services should be implemented locally, and family doctors’ performance evaluation and incentive mechanisms should be improved.
文章编号:3202009067     中图分类号:R197    文献标志码:
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姜飞飞① 苏 源①  
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