社区卫生服务中心开展临床预防服务影响因素的定性研究

Qualitative Research on Influence Factors for Clinical Prevention Service Launched by Community Health Services Centers

目的探讨在上海社区卫生服务中心开展临床预防服务时,影响医患双方互动的有利和阻碍因素。方法本研究采用定性研究的方法,对象为社区居民、社区临床工作者和管理者。结果开展临床预防工作的主要障碍在医患双方都存在。社区临床医生人力短缺比较严重;工作量过大;自身专业水平仍需提高。而居民方面人口文化层次高低不一;缺乏对社区卫生中心及其工作人员信任和理解;中青年社区居民多由于工作而较难在时间上和社区的卫生服务形成交集。结论目前在社区卫生服务中心临床预防服务还处于一种医务人员半自发地提供相关服务的状态,需要从人力、物力、财力方面加大投入。

Objective To explore the facility and unfavorable factors that might affect the interaction between the clinicians and the patients in the process of integrating clinical prevention service （CPS） into the current community health services in Shang- hai. Methods The study used qualitative researches to analyze the factors affecting the implementation of clinical preventive services from the clinicians, the patients and manager. Results The major barriers for the implementation of CPS exist on both sides of the clinicians and residents. The barriers for clinicians include a significant shortage of personnel, overloaded amount of work which leads to a lower quality,lack their own related knowledge. Whereas barriers that the patients face include a vast diver- sity of education levels ,a lack of understanding and trust for community clinicians ,difficulties for young and mid-aged residents to make use of community services due to their schedules for their jobs. Conclusion So far the CPS at the community health cen- ters are still provided by clinicians with a semipontaneously attitude. CPS still calls for emphatic investments of different resources.