摘要
目的 探索以全科诊疗为服务主路径的模式在推动家庭医生服务工作中的作用,为深圳及其他地区开展家庭医生服务提供参考。方法 以社区健康服务中心为主要服务场所,将全科诊断、治疗、筛查、重点人群分类管理、随访等一系列连贯的服务融为一体,集于同一团队完成的模式称为“以全科诊疗为服务主路径模式”,简称为“主路径”。随机抽取2014年3月-2015年2月推行“家庭医生服务团队与专科团队并存”的管理模式,和2015年3月-2016月2月推行“主路径”模式两个时间段的签约居民各100例分别作为对照组和实验组,比较其重点人群家庭医生服务签约率、签约居民健康知识知晓率、家庭医生服务知晓率、家庭医生服务满意度等指标。结果 与实验前对比,实行“主路径”后,重点人群的家庭医生签约率由11%提高到67%;签约居民健康知识知晓率由34%提高到92%,家庭医生服务知晓率由24%提高到91%,家庭医生服务满意度由58%提高到95%,差异有统计学意义（P〈0.05）。结论 以全科诊疗为服务主路径的模式对家庭医生服务工作有明显的推动作用,值得推广。
Objective To explore the effects of the service model which relies on general diagnosis and treatment as a primary service path in promoting a family medicine service,and to provide a reference to the family medicine service for Shenzhen City and other areas.Methods Using community health service centers as central service establishments, integrating general diagnosis,treatment,screening,classification and management of focus groups as well as follow-ups and a series of coherent services to be completed by the same team.The service model ＂the service model reliant on general diagnosis and treatment as a primary service path＂ referred to as the ＂primary service path＂.Random selections of 100 residents during the period of March 2014 to February 2015,implemented ＂family doctor team and specialist team coexist＂ mode and during the period of March 2015 to February 2016,implemented the primary service path management mode as the control group and experimental group,and the index such as the family medicine service signing rate,the signed residents＇ health knowledge awareness rate,the family medicine service awareness rate and the satisfaction degree of family medicine service were compared respectively.Results In the ＂primary service path＂ model, to compare with the ＂family doctor team and specialist team coexist＂model,the family medicine service signing rate was increased from 11% to 67%;the signed residents＂ health knowledge awareness rate was increased from 34% to 92%;the family medicine service awareness rate was increased from 24% to 91% ;the satisfaction degree of family medicine servicewas increased from 58% to 95%,the differences were statistically significance （P〈0.05）.Conclusion The service model which relys on the general diagnosis and treatment as a primary service path is good for promoting the family medicine service,and it is worth of being popularized.
出处
《中国当代医药》
2016年第20期169-171,共3页
China Modern Medicine
基金
广东省深圳市南山区技术研发和创意设计项目分项资金教育(卫生)科技资助项目(南科研卫2013005号)
关键词
全科诊疗
主路径
模式
家庭医生服务
The general diagnosis and treatment
Primary path
Model
Family medicine service
