中国全科医学2017，Vol.20Issue(33)：4100-4104,5.DOI:10.3969/j.issn.1007-9572.2017.00.139
中山市大涌镇青岗社区家庭医生服务签约情况及有效签约方式探讨
Current Situation of Family Doctor Services in Qinggang Community of Dayong Town, Zhongshan City and the Effective Methods of Signing a Contract with Family Doctors
彭志强 1唐燕飞 1刘秋英1
作者信息
- 1. 528467 广东省中山市大涌镇社区卫生服务中心
- 折叠
摘要
Abstract
Objective To explore the most effective contract-signing methods of family doctor services in Qinggang community of Dayong town,Zhongshan city in order to further promote the sustainable development of family doctor service system in Zhongshan.Methods A total nf 996 residents from Qinggang community of Dayong town,Zhongshan city,including the elder who were over 65 years old.women of childbearing age,children aged 0-6 years old,severe psychotic patients and disabled people,were invited to sign a contract with family doctors on a free and voluntary contracting principle from October 2015 to March 2016.There were three methods to sign a contract with family doctors,including collective contract,outpatient contract and signing a contract in the houses of residents.At the same time,a questionnaire was used to investigate the rate of receiving initial diagnosis at community health institutions,and residents' awareness rate and satisfaction rate of family doctor services.Statistics on the efficiency of 3 kinds of contract signing methods.Results A total of 255 residents signed the contract with family doctors and the contract-signing rate was 25.6％.The signing rate of collective contract was 22.7％ (58/225);the signing rate of outpatient contract was 61.2％ (156/255);and the signing rate of signing a contract in the houses of residents was 16.1％ (41/255).Residents who signed the outpatient contract had a higher rate of receiving initial diagnosis at community health institutions as well as residents' awareness rate and satisfaction rate than those who sighed the contracts through the other two methods (P ＜ 0.05).As for the contract efficiency,it took 15 minutes per people to sign the outpatient contract and 10 minutes per people to sign the collective contract,while it took 30 minutes per people to sign a contract in the houses of residents.Conclusion The outpatient contract is the most effective way to sign a contract with family doctors in Qinggang community of Dayong town,Zhongshan city.关键词
社区卫生服务/全科医生/家庭医生服务Key words
Community health services/General practitioners/Family doctor service分类
医药卫生引用本文复制引用
彭志强,唐燕飞,刘秋英..中山市大涌镇青岗社区家庭医生服务签约情况及有效签约方式探讨[J].中国全科医学,2017,20(33):4100-4104,5.
