摘要
Abstract
Objective To evaluate the effect of assistants for general practitioners in family doctor service system.Methods In 2013 and 2014, we enrolled permanent residents of Weifang Community and divided them into group A (n=102 378) and group B (n=102 526) .In group A, no assistants for general practitioners were involved , and 6 practitioners of 3 community health teams of Weifang Community Health Service Center independently provided contractual services for residents during outpatient treatment; in group B , assistants for general practitioners were involved , and each of the same general practitioners of group A provided contractual services for residents with the help of one fixed assistant .Comparison was made between the two groups in electronic record establishment , two-way referral and screening items.Results Group B was higher (P<0.01) than group A in the rate of electronic health record establishment 〔37.13% (38 068/102 526) vs.20.56%(21 051/102 378)〕 and the rate of two-way referral 〔0.11% (116/102 526) vs.0.04% (39/102 378)〕 .In group A, the number of subjects who received colorectal cancer screening conducted by 15 general practitioners and disease prevention staff was 4 436, with each health worker conducting screening on 295.7 subjects; in group B, the number of subjects who received colorectal cancer screening conducted by 6 assistants for general practitioners was 4 000, with each assistant finishing screening on 666.6 subjects.In group A, the number of subjects older than 65 years old who received physical examination was 2 684, with each health worker conducting physical examination on 178.9 subjects older than 65; in group B, the number of subjects older than 65 years old who received physical examination was 6 263, with each assistant conducting physical examination on 1 043.8 subjects older than 65.Conclusion Assistants for general practitioners may facilitate the delivery of family doctor service , make the service mode more flexible and improve the work efficiency of GP team.They can also make it possible for more public -benefit screening programs financed by government to be carried out in communities.关键词
全科医生助理员/家庭医生制度/签约服务/效果评价Key words
Assistants for general practitioners/Family doctor service system/Contractual services/Effect evaluation分类
医药卫生
