摘要
为了解全科医生关于医联体对分级诊疗制度影响的认知情况,对湖北省2017年4月~6月参加全科医生培训的764名全科医生进行问卷调查。结果显示,67.0%的全科医生认为医联体建设完全可以或基本可以促进分级诊疗制度的实现。职称较高的全科医生对医联体促进分级诊疗的作用更加认同。全科医生视角下,医联体建设对于社区医院上转病人的促进作用高于上级医院下转病人。医联体建设应重视全科医生观点,明确他们的需求,加强上级医院医生对社区卫生机构的业务指导,提升基层卫生服务能力。
This study aims to understand the awareness of the general practitioners of Hubei province on the impact of medical alliance on hierarchical medical system, and to provide reference for the effective promotion of the hierarchical medical system. A questionnaire survey is conducted among 764 general practitioners who participated in general practitioner training in Hubei province from April to June 2017. 67.0% of general practitioners believe that the construction of medical alliance can fully or basically promote the realization of the hierarchical medical system. The general practitioner with higher professional title is more identifiable to the role of the medical alliance in promoting the hierarchical medical system. From the perspective of general practitioners, the medical alliance construction has a higher referral effect for patients in community hospitals than patients in higher-level hospitals. In the process of building medical alliance, it is necessary to pay attention to the views of general practitioners, clarify their needs, strengthen the guidance of doctors in higher-level hospitals on community health institutions, and improve the ability of primary health services.
作者
蒋青青
陈帆
卢祖洵
曹世义
JIANG Qing-qing;CHEN Fan;LU Zu-xun(School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《医学与哲学》
2019年第19期53-56,共4页
Medicine and Philosophy
基金
2017年国家自然科学基金项目(71603091)
2017年湖北省卫生计生科研基金项目(WJ2017Q016)
关键词
医疗联合体
全科医生
分级诊疗
medical alliance
general practitioner
hierarchical medical system
