中国全科医学2016，Vol.19Issue(7)：762-765,4.DOI:10.3969/j.issn.1007-9572.2016.07.005
社区健康小屋的功能与资源配置需求研究
Demand for Community Health Cabin′s Function and Resource Allocation
摘要
Abstract
Objective To explore the demand for community health cabin′s function and resource allocation, in order to provide reasonable suggestions for the construction of community health cabin.Methods From October 2014 to April 2015, we randomly enrolled 98 residents who sought for treatment in the general clinics of Jinyang Community Health Service Center in Pudong New Area of Shanghai by convenience sampling method, and we also enrolled 100 residents randomly intercepted from the streets within the central administrative area.Questionnaire survey on community health cabin′s was conducted the subjects.Results A total of 198 questionnaire were distributed, and 198 questionnaires were returned with an effective rate of 100.0%.The service content of health cabin demanded by community residents included regular health examination ( 77.2%, 152/197), health consultation (64.0%, 126/197), screening for chronic disease and follow -up/guidance (51.3%, 101/197); a medical measurement tool considered to be primary was BP monitor (45.1%, 88/195); functions expected included medical consultation ( 64.0%, 126/197 ) , monitor of health indicator ( 61.4%, 121/197 ) and prevention and treatment of chronic diseases (55.8%, 110/197); the community health service center was expected to open health cabin (43.3%, 84/194); the expected area of health cabin was 30~60 m2 (49.8%, 95/191); medical workers and equipment were expected to include general practitioners (80.6%, 158/196), nurses (50.5%, 99/196), specialist physician (37.2%, 73/196) and equipment with interaction function ( 20.4%, 40/196 ); the primary health workers were general practitioners ( 58.2%, 110/189); the number of health workers in a health cabin was expected to be 2 to 3 ( 59.6%, 112/188 ); health cabins were expected to open on both workdays and weekends (43.8%, 85/194) .At present, community residents preferred to accept a health cabin service mode composed of physical examination items and health education with a focus on physical examination (41.9%, 82/196); the proportion of residents who thought health cabin necessary was 83.1% (162/195); the proportion of residents who thought the function of health cabins could be replaced by community health service center was 37.2% (73/196);the proportion of residents who wanted to use substitutive settings was 75.5% ( 145/192 ); the proportion of residents who thought the traffic to health cabins more convenient than substitutive settings was 52.3% (103/197), and 47.2%(93/197) of the residents thought the expenses cheaper.Conclusion The function of community health cabin should not be limited to physical examination, but should also include the spreading and guidance of health knowledge; the latter is the key element to distinguish health cabins from other substitutive settings.What′s more, community health should be further promoted in the aspects of hardware and software equipment.关键词
社区健康小屋/功能/资源分配/卫生服务需求Key words
Community health cabin/Function/Resource allocation/Health services needs and demand分类
医药卫生引用本文复制引用
宋道平,陈利云..社区健康小屋的功能与资源配置需求研究[J].中国全科医学,2016,19(7):762-765,4.基金项目
上海市中西医结合学会科研基金资助项目(2013-0201）---基于价值分析法的社区健康小屋功能定位与资源配置研究；上海市卫生和计划生育委员会科研基金资助项目(2014-337）---基于 SERVQUAL标尺评价健康小屋服务质量评价指标的研究 （）
