摘要
目的探讨2008年1月—2012年12月方庄家庭医生式服务团队的构建及服务效果。方法 2012年12月采用调查问卷对社区居民前往社区医院就医情况及对社区卫生服务的满意情况进行调查;同时对团队成员进行职业满意度问卷调查。通过分析调查结果评价家庭医生式团队服务模式实施效果。结果组建了15支能满足方庄社区居民卫生需求的社区卫生服务团队,形成了新型的社区卫生服务管理体系及运行机制,建立了新型的家庭医生式团队服务模式,开发了一系列与新型家庭医生式团队服务模式相适应的规章制度,为社区卫生服务可持续发展提供了制度保障。调查结果显示:在自我感觉病情轻时,社区居民前往社区医院就医率高达74.3%(736/991);居民对社区卫生服务的满意率在全科诊疗方面达76.7%(760/991),慢病管理方面达73.7%(730/991),预防接种方面达81.0%(803/991),社区护理方面达74.4%(737/991),健康教育与促进方面达89.1%(883/991),中医康复方面达79.0%(783/991),计划生育指导方面达68.1%(675/991),出诊服务方面达71.1%(705/991),转诊服务方面达58.6%(581/991)。家庭医生式团队服务成员对目前待遇满意度达66.9%(85/127),目前工作内容满意度达81.1%(103/127),工作环境和单位文化氛围满意度达85.8%(109/127),职业发展满意度达88.2%(112/127),职业认同感满意度达74.0%(94/127),职业价值感满意度达71.7%(91/127)。结论方庄社区卫生服务中心建立了较为完善的家庭医生式服务团队,方庄家庭医生式团队服务模式可以使社区卫生服务获得较好的成效。
Objective To explore the construction and effect of the family doctor service model at Fangzhuang community from January 2008 to December 2012.Methods By using a questionnaire,community residents were investigated of the community hospital conditions and the satisfaction of community health services; the team members were investigated of their career satisfaction at the same time.By analyzing the survey results,the implementation effects of the family doctor service model were evaluated.Results 15 health service teams were founded to meet the health needs of community residents at Fangzhuang community.A new community health service management system and operational mechanism were formed.A new family doctor team service model was established.A series of rules and regulations suitable for the new service model were developed providing a system guarantee of sustainable development for community health service.Community residents feeling the disease was mild,the ratio choosing community hospitals was as high as 74.3％ （736/991） ; residents＇ satisfaction rate with community health services was 76.7％ （760/991） in general diagnosis,73.7％ （730/991） in chronic disease management reached,81.0％ （803/991） in vaccination,74.4％ （737/991） in community nursing,89.1％ （883/991） in health education and promotion,79.0％ （783/991） in TCM rehabilitation,68.1％ （675/991） in family planning guidance of,71.1％ （705/991） in visiting services and 58.6％ （581/991） in referral services.The rate of the family doctors＇ satisfaction with the current treatment was 66.9％ （85/127）,with the content of the work 81.1％ （103/127）,with the working environment and culture atmosphere 85.8％ （109/127）,with occupation development 88.2％ （112/127）,with occupation identity 74.0％ （94/127） and with their worth sense in their work 71.7％ （91/127）.Conclusion Fangzhuang community health service center has established the perfect family doctor service team.The family doctor-style team model can make the community health service obtain good results.
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第7期773-776,共4页
Chinese General Practice
基金
中国社区卫生科研基金(2012-2-107)
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)
