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我国基层医疗卫生机构签约服务情况调查 被引量:5

Survey on the service contract signature of primary medical and health institutions in China
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摘要 目的了解基层医疗卫生机构签约服务现状。方法采用问卷调查和个人深入访谈法等方法对10个试点城市共20家基层医疗卫生机构签约服务现况进行研究。结果调查机构签约率为19.1%,有效签约率76.0%。签约人群中65岁及以上老年人占33.5%,高血压患者占19.5%,糖尿病患者占10.6%。对基层医疗卫生机构全科医生团队的访谈发现,影响居民签约积极性的主要因素包括药物配备情况、签约服务包吸引力、就诊习惯等;对医务人员的个人深入访谈发现,签约服务面临医务人员不足、激励不足、业务能力不足等问题;机构负责人访谈发现,宣传不足和医保支持不足对签约服务也有较大影响。结论全科医生和居民签约服务积极性均有待提高。 Objective To understand the status of service contract signing conducted by primary medical and health institutions. Methods A questionnaire survey and in-depth interview methods were used to study the service contract signing at primary health care institutions. Results The contract signing rate of the institutions surveyed was 19. 1%, and valid contract signing rate was 76%. Senior people above 65 years old accounted for 33.5% of those signers,while hypertension patients accounted for 19.5% and diabetes patients for 10. 6%. Interviews to the general practitioners team at the primary health institutions found that main factors affecting residents' intention to sign were drug availability, attraction for signing the services, treatment habits among others. Interviews to the staff the primary health institutions found that contracted services are facing such difficulties as medical staff shortage, lack of motivation,lack of competence among others. Interviews to leaders of the primary health institutions found that the lack of publicity and support of medical insurance also has great influence to service contract signing. Conclusions The enthusiasm of general practitioners and residents to sign up for the service remains to be improved.
作者 殷涛 尹德卢 秦坤 余瑞芳 景琳 黄金虎 金承刚 毛春芳 张向东 陈博文 Yin Tao,Yin Delu,Qin Kun , She Rui fang , Jing Lin , Huang Jinhu, Jin Chenggang ,Mao Chunfang , Zhang Xiang- dong , Chen Bowen(Health Development Research Laboratory, Capital Institute of Pediatrics, Beijing 100020, China)
出处 《中华医院管理杂志》 北大核心 2016年第3期213-216,共4页 Chinese Journal of Hospital Administration
基金 世界银行“中国经济改革实施项目”子项目:全科医生执业方式和服务模式改革试点(TCC5-A29-12) 首都儿科研究所科研基金:儿童签约服务包研究(QN-2016-17)
关键词 全科医生 签约服务 General practitioners Service contract signature
作者简介 通信作者:陈博文,Email:bowenc@126.com
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