家庭医生签约服务的需求与供给匹配性分析
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摘要
目的通过居民对签约服务需求与家庭医生服务供给的实证调查与分析,了解居民对家庭医生签约服务的需求偏好与家庭医生签约服务供给状况,以此为依据优化家庭医生签约服务的提供。方法选取上海市虹口区欧阳路街道辖区范围内18周岁及以上的常住居民和该辖区范围内的家庭医生,对居民的服务需求和家庭医生的服务供给进行统计分析。结果居民对配药服务的需求最为紧迫,而家庭医生更加重视对签约居民的健康管理、供需存在不匹配的状况。结论居民的家庭医生需求仍然停留在配药服务上,而家庭医生已经将重心转移到健康管理服务中。应提升居民健康意识、改善健康行为和引导居民开展健康管理。
OBJECTIVE Through empirical investigation and analysis of residents' service demand and family doctors' service supply to investigate the demand and supply of family doctor contracted services,according to which to optimal the service. METHODS Residents over the age of 18 and family doctors in Ouyang Street of Hongkou District,Shanghai were chosen as objects,making statistical analysis on residents' service demand and family doctors' service supply. RESULTS Residents' demand for dispensation,prescription and physical examination were most urgent,family doctors paid more attention to the health management of contracted residents. The matching degrees of supply and demand were not high. CONCLUSION Residents' demand remained on dispensation,while family doctors hahad shifted their focus on health management services. It should enhance residents' health awareness,improve their health behaviors and guide them to carry out health management.
OBJECTIVE Through empirical investigation and analysis of residents' service demand and family doctors' service supply to investigate the demand and supply of family doctor contracted services,according to which to optimal the service. METHODS Residents over the age of 18 and family doctors in Ouyang Street of Hongkou District,Shanghai were chosen as objects,making statistical analysis on residents' service demand and family doctors' service supply. RESULTS Residents' demand for dispensation,prescription and physical examination were most urgent,family doctors paid more attention to the health management of contracted residents. The matching degrees of supply and demand were not high. CONCLUSION Residents' demand remained on dispensation,while family doctors hahad shifted their focus on health management services. It should enhance residents' health awareness,improve their health behaviors and guide them to carry out health management.
引文
[1]沈世勇,吴忠,张健明,等.上海市家庭医生制度的实施效应研究[J].中国全科医学,2015(10):1132-1137.
[2]黄蛟灵,高臻耀.家庭医生制度的健康管理实践与成效分析以上海市长宁区为例[J].中国医疗保险,2017(2):33-36.
[3]周芸,周瑛.全科服务团队模式下的家庭医生制服务探讨[J].中国全科医学,2011,5(25):346-347.
[4]上海市人民政府办公厅.上海市人民政府办公厅关于印发《关于进一步推进本市社区卫生服务综合改革与发展的指导意见》的通知[沪府办发(2015)6号]http://www.shdrc.gov.cn/fzgggz/shfz/zcwj/18950.
[5]宋琼芳.上海延伸处方补全“1+1+1”蓝图[J].中国卫生,2017(9):106-107.
[6]芦炜,张宜民,梁鸿,等.基于需方的家庭医生签约服务实施效果评价——以慢性病为重点[J].中国卫生政策研究,2016,9(8):23-30.
[7]申一帆,李曼春,张宏星. 1000名老年人卫生服务需求及社区卫生服务意向研究[J].中华医院管理杂志,1999,15(12):713-715.
[8]黄蛟灵,方帅,梁鸿,等.家庭医生签约服务协同改革对居民健康管理的影响[J].中国卫生资源,2018,21(4):329-332,341.
[9]周志林.家庭医生团队签约服务对慢性病健康管理的效果评价[J].中国卫生产业,2018,15(15):30-31,34.
[10]裴宇慧,张校辉,石建新.家庭医生健康管理服务路径实施效果评价[J].中国医药科学,2015(8):108-110.
[11]倪建华,李云鹏,张颖,等.基于家庭医生制的健康管理模式探索[J].中华全科医学,2013,11(3):477-478.
[2]黄蛟灵,高臻耀.家庭医生制度的健康管理实践与成效分析以上海市长宁区为例[J].中国医疗保险,2017(2):33-36.
[3]周芸,周瑛.全科服务团队模式下的家庭医生制服务探讨[J].中国全科医学,2011,5(25):346-347.
[4]上海市人民政府办公厅.上海市人民政府办公厅关于印发《关于进一步推进本市社区卫生服务综合改革与发展的指导意见》的通知[沪府办发(2015)6号]http://www.shdrc.gov.cn/fzgggz/shfz/zcwj/18950.
[5]宋琼芳.上海延伸处方补全“1+1+1”蓝图[J].中国卫生,2017(9):106-107.
[6]芦炜,张宜民,梁鸿,等.基于需方的家庭医生签约服务实施效果评价——以慢性病为重点[J].中国卫生政策研究,2016,9(8):23-30.
[7]申一帆,李曼春,张宏星. 1000名老年人卫生服务需求及社区卫生服务意向研究[J].中华医院管理杂志,1999,15(12):713-715.
[8]黄蛟灵,方帅,梁鸿,等.家庭医生签约服务协同改革对居民健康管理的影响[J].中国卫生资源,2018,21(4):329-332,341.
[9]周志林.家庭医生团队签约服务对慢性病健康管理的效果评价[J].中国卫生产业,2018,15(15):30-31,34.
[10]裴宇慧,张校辉,石建新.家庭医生健康管理服务路径实施效果评价[J].中国医药科学,2015(8):108-110.
[11]倪建华,李云鹏,张颖,等.基于家庭医生制的健康管理模式探索[J].中华全科医学,2013,11(3):477-478.