中国全科医学2024，Vol.27Issue(34)：4302-4307,6.DOI:10.12114/j.issn.1007-9572.2024.0064
医联体背景下基层医疗卫生机构服务能力及影响因素研究
Medical Service Capacity and Influencing Factors of Primary Health Care Institutions Under Medical Alliance
摘要
Abstract
Background The construction of medical alliance is important measure for deepening medical reform.It aims to move the focus and resource to primary health care institutions,and improve service capabilities.Studies have shown that the medical alliance can improve the service capabilities of primary health care institutions,but the exact reason for this is not clear.Objective To analysis the service capabilities of the of primary health care institutions,and explore the impact of service capabilities in the context of medical alliance.Methods In December 2019,we survey on staffing,outpatient and inpatient service and medical alliance construction of 381 primary health care institutions which participated in medical alliance in Chengdu by structured questionnaire.Local administrative departments of public health gave out and recovered questionnaire.With the number of staff,registered generals,beds,outpatient and emergency visits,admission,and the use rate of the beds as the indicator of the service capabilities,we used rank sum ratio to analyze the comprehensive medical service capabilities and divide them to 3 gear.Using orderly Logistic regression to explore the influencing factors of integrated medical services.Results The median number of staff in 381 primary health care institutions was 54(48),registered generals was 4(8),beds was 50(50),outpatient and emergency visits was 49 460(60 317),admission was 1 440(2 071),the use rate of beds was 68.43%(45.18%).According to the rank and ratio,there were 61(16.0%),260(68.3%),and 60(15.7%)institutions with good,medium and poor comprehensive medical service ability,respectively.The analysis of orderly Logistic regression analysis showed that institutional building area,teaching rounds and remote film reading are the influencing factors of the comprehensive medical service capabilities of primary health care institutions(P<0.05).Conclusion The medical service capacity of primary health care institutions in Chengdu,Sichuan Province are relatively good.Institutional building area,teaching rounds and remote film reading in the medical assistance method significantly affect the comprehensive medical service capabilities.关键词
医联体/基层医疗卫生机构/医疗服务能力/影响因素分析/成都Key words
Medical alliance/Primary health care institutions/Medical service capacity/Root cause analysis/Chengdu分类
医药卫生引用本文复制引用
张亚琳,刘力滴,陈正勇,刘长明,杨梓钰,曹毅,廖晓阳..医联体背景下基层医疗卫生机构服务能力及影响因素研究[J].中国全科医学,2024,27(34):4302-4307,6.基金项目
四川省卫生健康委员会项目(TJZ201909) （TJZ201909）
四川省科技厅软科学项目(2022JDR0325) （2022JDR0325）
