摘要
本研究基于欧洲基层卫生质量和成本中心(Quality and Costs of Primary Carein Europe,QUALICOPC)基层医疗调查问卷(医生问卷),采用多阶段抽样方法在四川省基层医疗机构开展实证研究。研究发现,四川省基层医疗机构在“可及性”、“连贯性”、“协调性”、“综合性”、“质量”、“效率”和“公平性”7个维度中,能力得分最高的为“公平性”,最低的为“协调性”。不同地区之间的“可及性”和“效率”有统计学差异。医生性别、医疗机构的地理位置及当地经济是基层医疗机构服务能力的影响因素。因此,四川省需要进一步加大对基层医疗机构的支持力度,促进上下级医疗机构的联动。
This study was conducted based on the primary health care questionnaire, with doctors as subjects, developed by the European center for Quality and Cost of Primary health Care (QUALICOPC), which uses a multi-stage sampling method to carry out empirical research in primary/grassroots healthcare institutions in Sichuan province. The study found that Sichuan province's primary healthcare institutions have the highest ability scores in the seven dimensions of "accessibility","coherence","coordination","comprehensiveness","quality","efficiency", and "equity". It was found that the institutions performed best in terms of "equity" than in "coordination", i.e. 0.63 (SD=0.20) against 0.01 (SD=0.14), respectively. There were statistical differences in "accessibility" and "efficiency" between different regions. The gender of doctors, the geographical location of medical institutions and the local economy were the influencing factors of the primary health care serviceability. Therefore, it is suggested that Sichuan Province should further increase the support of lower-level primary healthcare institutions and put much attention to poverty-stricken areas while improving the correlation coefficient in medical serviceability between urban and rural areas as well as between regions with different economic situations.
作者
路冰清
曾文麒
陶文娟
罗义威
文进
LU Bing-qing;ZENG Wen-qi;TAO Wen-juan;LUO Yi-wei;WEN Jin(Chinese Evidence-based Medicine Center,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China;Institute of Hospital Management,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2019年第8期31-36,共6页
Chinese Journal of Health Policy
基金
国家自然科学基金面上项目(71874115)
四川省科技厅项目(2018KZ0046)
