中国全科医学2017，Vol.20Issue(13)：1549-1553,5.DOI:10.3969/j.issn.1007-9572.2017.13.005
北京市社区居民家庭医生式服务干预效果评价
Evaluation of Interventional Effects of Family Doctor Service on Community Residents in Beijing
摘要
Abstract
Objective To conduct a questionnaire survey to residents of eight communities in Beijing,and evaluate the interventional effect of family doctor services.Methods According to the factors such as the size of organization,the residents′ situation and the economic and cultural level,eight community health service centers were selected from Haidian District,Xicheng District and Daxing District,and 4 in experiment group and 4 in control group.Community residents in the administrative region of community health service center were randomly selected as the research objects.The control group used the original mode of family doctor service,that is,the service model formed since the carrying out of family doctor service in Beijing in 2010 to carry out.The experiment group used a new model of family doctor service,that is to improve service content and service methods based on the original model according to the baseline survey results.Two groups were intervened with family doctoral service models for one year.The self-designed Family Doctor Service Questionnaire,before the intervention (February-March,2013) the community residents were investigated,and reinvestigated 1 year after interventions (March-April,2014).The questionnaire included the basic situation of the community residents,the awareness of family doctor service,the satisfaction of family doctor service and the utilization of community health service.The multiplier method was used to assess the intervention effect of family doctor service,the difference value before and after intervention (DID) between experiment group and control group presented a policy effect,and if DID > 0 indicated a positive policy effect,otherwise a negative policy effect.Results The awareness rate of the family doctor service model,family doctors and their contact information of the residents in experiment group had improved,more residents learn about family doctoral services through television,newspapers,and network (DID>0,P<0.05).The implementation of family doctorial services in experiment group played a positive role in reducing expenditure (DID>0,P<0.05).Conclusion The new model of family doctor service can effectively increase the publicity of family doctor service,and reduce medical and health costs.关键词
家庭医生式服务/社区卫生中心/结果评价(卫生保健)/北京Key words
Family doctor service/Community health centers/Outcome assessment(health care)/Beijing分类
医药卫生引用本文复制引用
朱兆芳,赵梦,孙广宁,孙昊明,杨洪伟..北京市社区居民家庭医生式服务干预效果评价[J].中国全科医学,2017,20(13):1549-1553,5.基金项目
北京市科学技术委员会市委、市政府重点工作及区县政府应急项目(Z121100000312082) （Z121100000312082）
