中国全科医学2018，Vol.21Issue(19)：2287-2290,4.DOI:10.3969/j.issn.1007-9572.2018.00.048
邻里中心卫生单元对家庭医生式服务的作用效果研究
Role of the Healthcare Department of Neighborhood Centers in the Promotion of Family Doctor Services
摘要
Abstract
Objective To explore the role of the healthcare department of neighborhood centers in the promotion of family doctor services.Methods We conducted this study from January to April 2017.Using simple random sampling with a sampling fraction of 1:10,we selected totaled 1 502 registered residents seeking outpatient treatment(725 from the healthcare department,Jixiangfang Neighborhood Center,Minhang District Maqiao Community Health Center,362 from Qizhong Health Station,415 from Linsong Health Station).Then we conducted a survey among them with a self-developed questionnaire for collecting the data about demographic characteristics,awareness of family doctor services,status of signing a contract with the family doctor,initial consultation with the family doctor and making an appointment with the family doctor,level of satisfaction with the family doctor service,as well as the level of trusting the family doctor services.Results A total of 1 451(96.6%) participants〔703 from the healthcare department,Jixiangfang Neighborhood Center(healthcare department of neighborhood center group),748 from the two health stations(health station group)〕 were included in the final analysis.Compared with the health station group,healthcare department of neighborhood center group demonstrated higher rate of signing a contract with the family doctor 〔33.9%(238/703)vs 28.6%(214/748)〕,higher rate of having initial consultation with the family doctor〔68.7%(483/703)vs 63.8%(477/748)〕,and higher rate of making an appointment with the family doctor〔50.5% (355/703)vs 45.2%(338/748)〕(P＜0.05).Furthermore,healthcare department of neighborhood center group showed higher levels of satisfaction with the overall family doctor services,convenience in seeking healthcare,home-based care, service attitude,health education,and psychological counseling,and higher levels of trusting doctor attending to their needs, their willingness to participate in therapy,the doctor being honestly liable for medical mistakes,the doctor keeping patient-doctor conversations with complete confidentiality(P＜0.05).However,healthcare department of neighborhood center group and health station group showed no significant difference in the awareness of family doctor services〔93.2%(655/703) vs 90.6% (678/748)〕(P＞0.05).Moreover,both groups exhibited similar levels of satisfaction with the waiting time for consultation, vaccination service,and regular physical examination,and similar self-perceived doctors' attention level,self-perceived level of best efforts used by the doctor during management,level of adherence to doctors' advice,levels of trust in the matters informed by the doctor,management delivered by the doctor,and professional capabilities of the doctor(P＞0.05).Conclusion The healthcare department of the neighborhood center plays an important role in improving the level of satisfaction with family doctor services and level of trusting such services in the residents.However,the rate of signing a contract with the family doctor and rate of having initial consultation with the family doctor in the residents under management should be improved further.关键词
邻里中心/家庭医生式服务/满意度/信任度Key words
Neighborhood center/Family doctor services/Satisfaction/Trust分类
医药卫生引用本文复制引用
陆海峰,贾杰,陈静,杨建钊,刘梅,邱巍,赵伟忠..邻里中心卫生单元对家庭医生式服务的作用效果研究[J].中国全科医学,2018,21(19):2287-2290,4.基金项目
上海市闵行区卫生和计划生育委员会科研课题(2016MW55) （2016MW55）
