摘要
目的由于社区中医全科服务能力不足,基于已有经验探索新的服务模式,是中医全科医生必须面临的问题。本文旨在通过问卷调查,为“专科-全科”家医团队新模式在中医全科医生人群中开展提供理论依据。方法于2020年1月4-7日采取整群抽样的方法,选择北京市东城区9个社区卫生服务中心的中医全科医生138人为研究对象。设计、制定调查问卷并统一通过微信APP填写。问卷内容涉及被调查者的基本情况、对组建“专科-全科”家医团队需求、合作现状及意愿。结果(1)该城区中医全科医师工作年限以5年以下、6~10年为主(41.0%、35.1%),学历以本科和硕士及以上为主(45.5%、48.5%),职称以初级、中级为主(35.8%、54.5%);(2)“专科-全科”团队模式认可情况方面(需求、合作现状及意愿),99.3%的中医全科医生表示需要专科医生支持,79.9%的人能够通过多渠道寻求专科医生的建议;71.6%的人对“专科-全科”家医团队模式前景乐观。结论北京市东城区中医全科医生工作年限较短,但学历、职称均较高,其全科能力可以进一步提高,“专科-全科”家医团队模式或是一种提升途径,帮助其更好地开展社区卫生工作。
Objective Because of the insufficient Traditional Chinese Medicine(TCM)general practice service capacity in community,general practitioners of TCM(TCMGPs)should face to explore new service mode based on existing experience.The purpose of this paper is to provide a theoretical basis for the implementation of the new pattern of"Specialist-General Practitioner"family medicine team among TCMGPs through questionnaire survey.Methods Using cluster sampling,138 TCMGPs from 9 community health service centers in Dongcheng District were selected as the respondents of this study.Questionnaire was designed and evaluated,and then filled through WeChat APP from January 4 to January 7,2020.The content of the questionnaire involved personal information,their demand for assembling"Specialist-General Practitioner"family medicine teams,the status quo and willingness of cooperation.Results(1)The working years of TCMGPs in this urban area were mainly less than 5 years and 6-10 years(41.0%,35.1%),the education background was mainly bachelor's degree and master's degree or above(45.5%,48.5%),and the professional titles were mainly primary and intermediate(35.8%,54.5%).(2)In terms of demand,the status quo and willingness,99.3%of TCMGPs needed specialists'support,and 79.9%of TCMGPs were able to seek the advice of specialists through various ways;71.6%of TCMGPs were optimistic about the future of this kind of cooperative team.Conclusion TCMGPs in Dongcheng District have shorter working years,but better educational background and higher professional titles.Their capacity could be further improved via"Specialist-General practitioner"family medicine team mode.And this mode may be a way to help them carry out community health work better.
作者
田瑶
李云
周源
TIAN Yao;LI Yun;ZHOU Yuan(Hepingli Community Health Service Center,Beijing 100013,China)
出处
《中华全科医学》
2022年第1期88-91,共4页
Chinese Journal of General Practice
基金
首发科研专项北京市首都卫生发展科研专项(2018-3-7012)。
关键词
全科医学
中医全科医生
“专科-全科”家医团队
General practice
General practitioners of Traditional Chinese Medicine
"Specialist-General practitioner"family medicine team
