中国全科医学2018，Vol.21Issue(19)：2297-2302,6.DOI:10.3969/j.issn.1007-9572.2018.00.19
江苏省家庭医生签约服务工作现状及满意度研究
Current Status of Family Doctor Contracted Services and Its Satisfaction Degree in Jiangsu Province
王冬阳 1陈永年 2方佩英 3沈波 3黄晓光1
作者信息
- 1. 211166江苏省南京市,南京医科大学医政学院
- 2. 210029江苏省南京市,江苏省基层卫生协会
- 3. 214001 江苏省无锡市卫生和计划生育委员会
- 折叠
摘要
Abstract
Objective To discuss the current situation of family doctor contracted services and its satisfaction degree in Jiangsu Province to provide reference for the further development of family doctor contracted services.Methods Multistage sampling method was conducted.Eight primary medical institutions(four community health centers and four township health centers) from each of 13 cities in Jiangsu Province were selected by typical sampling method,in which the family doctor contracted services was implemented.And three doctors from each of primary medical institutions were selected by random number table method to fill in the questionnaires.A total of 312 doctors conducted a self-designed questionnaire from November to December in 2016.The questionnaire mainly included general situation of family doctors,current situation of the contracted services,residents' cognition and enthusiasm of contracted services and their satisfaction level.A total of 312 questionnaires were distributed and 296 valid questionnaires were collected.The effective rate was 94.9%.Results Among 296 doctors,the number of contracted residents of each doctor was from 0 to 8 380 with the median of 220(790).Family doctors thought that the reasonable number of contracted residents of each doctor should be from 0 to 3 000 with the median of 200(420).The working time of 150(50.7%) doctors was 9 to 10 hours.Working time engaged in the contracted services accounted for 3% to 99% of the total working hours with the median of 30%(30%).And 175(59.1%) doctors saw no change in salary basically.While 254 (85.8%) doctors were clear about the contents of contracted services,275(92.9%) doctors knew responsibilities of family doctors.Then 260(87.8%) doctors thought that they were qualified for the family doctor contracted services,while 171(57.8%) doctors were positive in the contracted services.The average score of satisfaction degree to the contracted services of urban family doctors was(3.37±0.05),and that of rural family doctors was(3.54±0.05).Scores of rural family doctors on the support of agencies,referral services provided by the superior hospital,social environment and overall satisfaction degree were higher than that of the urban family doctors with a significant difference(P＜0.05).There was no significant difference in the satisfaction degree of family doctors with different sex,age and practicing registration(P＞0.05),while there was a significant difference in the satisfaction degree of family doctors with different education level and professional titles(P＜0.05).Conclusion There is a certain gap between the actual number of residents contracted with family doctors and the number guided by policy,which needs the improvement of relevant policies.Family doctors have limited time to engage in the contracted services,and therefore more doctors are needed.Family doctors have a good self-evaluation with positive enthusiasm,and their service capabilities need to be further improved.Family doctors are less satisfied with personal development,and incentive mechanism should be improved.关键词
家庭医生/签约服务/现状/满意度Key words
Family doctor/Contracted services/Present situation/Degree of satisfaction分类
医药卫生引用本文复制引用
王冬阳,陈永年,方佩英,沈波,黄晓光..江苏省家庭医生签约服务工作现状及满意度研究[J].中国全科医学,2018,21(19):2297-2302,6.
