摘要
目的基于供需平衡视角,分析医共体下基层医疗服务特色措施实施成效。方法于2019年7—9月,在浙江省内选取2个不同经济发展水平的地区,从每个地区的医共体内选取1家牵头医院及2家社区卫生服务中心/乡镇卫生院,共调查213名医务人员及703名居民,了解其对医共体基层医疗服务特色措施的知晓度及效果评价情况。频数、占比采用描述性统计分析,供需双方效果评价得分采用独立样本t检验。结果医共体基层医疗服务特色措施效果评价,医务人员评分为(4.39±0.07)分,居民评分为(3.85±0.06)分;居民较为关注服务能力及服务内容,而医务人员较为关注服务内容及开展服务的模式;供需双方在基层慢性病诊疗水平的提升及获取服务的便利性方面,呈现供需一致性。结论医共体应着力提升基层医疗服务能力,并借助医疗保险机构完善基层服务模式。同时,应从供需平衡视角优化基层医疗服务政策。
Objective Based on the perspective of supply and demand balance,to analyze the implementation effects of primary-feature medical services measures in medical alliances.Methods From July to September 2019,two regions with different levels of economic development were chosen,and from each region one leading hospital and two community health service centers/township hospitals were selected from its medical alliance.A total of 213 medical staff and 703 residents were surveyed,to learn their awareness and performance appraisal of these feature services.Frequency and proportion were calculated in a descriptive statistical analysis.The scores of the performance appraisal of both supply and demand sides were tested by independent sample t.Results In the performance appraisal of such measures,the average scoring by medical staff was 4.39±0.07,and that by residents was 3.85±0.06;the residents were more concerned with service capabilities and contents,while medical staff were more concerned with service content and delivery mode;supply and demand sides were found with consensus in terms of improving the medical service quality of chronic diseases in primary level and service accessibility.Conclusions The county-level medical alliances should focus on enhancing their capacity of primary medical services,and improving their primary service mode with the help of medical insurance institutions.Meanwhile,it is imperative to optimize the primary medical service policy in view of supply and demand balance.
作者
周驰
谈芳
杜莹莹
邵平
崔月颖
王维婷
邬悦晨
钱敏
胡景宜
Zhou Chi;Tan Fang;Du Yingying;Shao Ping;Cui Yueying;Wang Weiting;Wu Yuechen;Qian Min;Hu Jingyi(Medical School,Hangzhou Normal University,Hangzhou 311121,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2020年第7期534-538,共5页
Chinese Journal of Hospital Administration
基金
浙江省软科学研究计划项目(2020C35008)
国家卫生健康委员会疾控局项目(1005F49118098)。
关键词
卫生服务管理
供需平衡
医共体
基层医疗服务
效果评估
Health services administration
Supply and demand balance
Medical alliance
Primary medical service
Performance appraisal
