摘要
目的对与家庭医生团队签约的社区慢性病患者进行慢性病管理服务过程的质量评价,并对其影响因素进行分析,为提高家庭医生团队慢性病管理服务质量提供参考依据。方法采用多阶段分层随机抽样的方法,在佛山市顺德区乐从社区卫生服务中心选取研究对象,使用初级卫生保健质量评价工具(PCAT-AS)中文简化版作为评价工具,采用多元线性回归分析影响慢性病管理服务过程质量的因素。结果回收有效问卷2 057份,PCAT得分(121.14±10.46)分,其中首诊可及性条目均分最低,综合性(利用)条目均分最高;多元线性回归分析慢性病管理服务质量的影响因素显示:年龄、居住情况、所患疾病种类和自评健康状况有统计学意义(P<0.05)。结论慢性病管理服务过程中需要注重非开诊时间段的患者就医需求,并重视对65岁以上、自评健康较差的常见老年慢性病患者的管理,以提高家庭医生签约患者慢性病管理的效果。
OBJECTIVE To assess the quality of community patient services to the chronic disease management process contractedwith the family doctor team,and analyze the influencing factors,to provide reference for improving family doctor team＇s quality ofchronic disease management and service. METHODS Patients were selected by multistage stratified random sampling method fromthe Lecong Community Health Service Center in Shunde District of Foshan, measured with PCAT-AS in this study. Multiple linear re-gression was used to analyze the relation between PCAT scores and soeiodemographic characteristics and health service utilization.RESULTS 2 057 valid questionnaires of recovery. PCAT scored（121.14±10.46） points, the minimum items for the first first contact ac-cessibility received the lowest, and the comprehensive（use） items were the highest. The results showed that age, living condition, dis-ease types and self-rated health were statistically significant（P〈0.05）. CONCLUSION It needed to pay attention to the non clinictime patient needs in the course of chronic disease management services, pay attention to the above 65 years old, poor self-ratedhealth patients, to improve the effectiveness of family doctor signing patients with chronic disease management.
作者
胡志强
谭文泽
何舫翰
林盛强
蔡志伟
黄桂香
HU Zhi-qiang;TAN Wen-ze;HE Fang-han(Lecong Community Health Service Center, Shunde District, Foshan, Guangdong, 528315, China)
出处
《中国初级卫生保健》
2018年第6期32-34,37,共4页
Chinese Primary Health Care
基金
佛山市卫生和计划生育局医学科研课题(20170332)
关键词
慢性病管理
服务质量
评价
影响因素
chronic disease management
service quality
evaluation
influenciry factor
