摘要
目的探索总结出一套适合城市远郊社区的家庭医生责任制运行模式,以期对家庭医生服务模式的进一步优化提供参考。方法自2011年开始,金山工业区社区卫生服务中心作为金山区家庭医生制服务的试点单位推行"分片包干、团队合作、责任到人"的家庭医生制服务模式。具体包括:纳入"全科健康助理"、完善家庭医生结构;延伸家庭医生制的卫生服务范畴;搭建信息化网络服务平台。结果截至2012年8月,本中心家庭医生签约居民共19 630名,签约率为73.5%。全面实行门诊电子病历,签约居民的健康档案建档率达到100.0%。孕产妇系统管理率、儿童系统管理率、高血压管理率和规范化管理率、糖尿病管理率和规范化管理率均较2010年明显提高(P<0.05)。社区卫生服务中心综合满意度问卷调查得分为94.4分,居民满意度提高。结论家庭医生责任制服务是社区卫生服务模式的发展趋势,其能更好地维护居民健康、提高公共卫生服务能力;但还存在家庭医生紧缺、待遇偏低、服务半径大等问题亟须解决。
Objective To assess the family factor - based community healthcare mode in suburban areas in Shanghai, aiming at laying foundations for future modification and improvement. Methods Documents on the performance of the family doctor - based so - called ＂ service regionalized, team cooperation - enforced, and responsibility - individualized＂ system in Jinshan Industrial Zone of Shanghai city during its trial implementation between 2011 and August, 2012 were collected. Data on various performance variables were analyzed. Results By the end of August, 2012, a total of 19 630 （73.5%） local residents in studied zone signed contracts for health services provided within the test system. Medical records of outpatients were documented exclusively electronically. All （100. 0%） contracted residents had theirhealth records achieved. The systematic management rates were all improved for obstetrics and gynecology, pediatrics, hypertension and diabetes as compared with 2010 （P 〈 O. 05） . The satisfaction score of community health service center was 94. 4. Conclusion Family doctor - based service system may be a trend of the development of community health service mode, which can better maintain the residents＇ health and enhance the public service capacity. However, currently this system is associated with numerous limitations including shortage of family doctors, low doctor salaries, and big service radius, which must be resolved urgently.
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第1期22-24,共3页
Chinese General Practice
基金
上海市金山区卫生局资助课题:社区家庭医生技能培养及绩效指标考核(2011-4)
