中国全科医学2016，Vol.19Issue(22)：2719-2724,6.DOI:10.3969/j.issn.1007-9572.2016.22.022
广西基层医疗机构全科医生基本医疗工作现状调查
The Current Clinical Practice of General Practitioners in Primary Healthcare Institutions in Guangxi
摘要
Abstract
Objective To investigate the current clinical practice of general practitioners( GPs) in primary healthcare institutions of Guangxi,analyze existing problems,and put forward suggestions. Methods GPs working in 54 primary healthcare institutions of Nanning, Liuzhou and Guilin were identified as study subjects through multi - stage stratified sampling method. From May to July,2013,a face-to-face questionnaire survey was conducted among them with the self-developed Questionnaire on the Current Clinical Practice of Doctors from Guangxi Primary Health Service Institutions,covering GPs' basic information,current clinical practice,and relationship with patients. Totally,200 copies of questionnaires were sent out and 186 valid responses were received( valid response rate:93. 0%) . Results Basic healthcare workload accounted for equal to or less than 49. 99% of daily work for 34. 4%(64/186)GPs,50. 00% -79. 99% for 37. 1%(69/186) GPs,and equal to or more than 80. 00% for 28. 5%(53/186)GPs. Amid 186 GPs,156(83. 9%)of them had transferred treatment to superior hospitals and 30(16. 1%)had never done it before. Main reasons for transferred treatment included lack of equipment for diagnosis and treatment(84. 6%,132/156),lack of techniques for diagnosis and treatment(73. 1%,114/156)and lack of personnel for diagnosis and treatment ( 30. 1%, 47/156 ) . Only 15. 0% ( 28/186 ) GPs felt their current techniques of diagnosis and treatment were completely competent for demands of current positions;68. 3%( 127/186 ) felt basically competent;5. 4%(10/186) felt not sufficiently competent and 11. 3%(21/186) felt barely competent. 16. 4%(27/165)GPs reported medical disputes;70. 9%( 117/165 ) had fixed patients;and 72. 1% ( 119/165 ) viewed doctor - patient relationship as very intense. Conclusion Clinical practice of primary GPs has certain effects, but still faces serious challenges, such as gaps in clinical skills and intense doctor - patient relationship. GPs should further improve clinical competence for diagnosis and treatment,and the service pattern also needs changes.关键词
全科医生/基本医疗服务/基层医疗机构/工作现状Key words
General practitioners/Basic medical services/Primary healthcare institutions/Current practice分类
医药卫生引用本文复制引用
申颖,左延莉,李虹,孔燕,韦思羽..广西基层医疗机构全科医生基本医疗工作现状调查[J].中国全科医学,2016,19(22):2719-2724,6.基金项目
2014年教育部人文社会科学研究规划基金项目（14YJA880109）---基于CIPP模型的高等医学院农村订单定向医学人才培养现状及效果评价研究；WHO2012-2013年度正规预算合作项目（20122013）---中国西部少数民族地区全科医生培养模式的研究；2014年广西医科大学教育教学研究与改革课题（2014XJGA06）---广西医科大学农村订单定向医学生《社区预防医学》课程设置研究；2013年广西医科大学教育教学研究与改革课题（2013XJGA05）---新本科医学教育标准下《全科医学概论》课程教学模式探讨 （）
