吉安市乡镇医院临床预防服务的现况调查

INVENTORY SURVEY OF CLINICAL PREVENTIVE SERVICES IN TOWNSHIP HOSPITALS OF JI'AN CITY

目的了解乡镇医院管理者和临床医务人员对临床预防服务的认识和开展的现状。方法采用现况调查乡镇医院管理者及医务人员。结果医务人员和管理者对临床预防服务内容的了解分别只有37.7%和68.1%;对于临床预防服务的内容只有29.2%的医务人员,31.8%的管理者表示本院都能开展;开展临床预防服务的障碍主要有医保费用控制、病人太多无时间提供相应服务、病人不愿意接受、人力紧缺、缺乏经济回报、缺乏临床预防知识和技能等。结论应尽快对乡镇医院进行临床预防服务知识和技能的培训,进一步提高乡镇医院的临床预防服务水平,并采取积极的措施以解决开展临床预防服务之障碍;在医学教育中对医学生加强临床预防服务相关知识的教学,为将来在临床开展预防服务打下基础。

Objective： To understand the status of the management of hospital administrators and clinical doctors in the clinic. Methods： A cross-sectional survey to the management of township hospitals and medical personnel was carried out. Results： The knowledge of clinical preventive services known by medical personnel and administrators only accounted for 37.7% and 68.1% respectively; only 29.2% of the medical staff and 31.8% of the hospital administrators considered the hospital could carry out clinical preventive services. The barriers to carry out clinical prevention included the control of medical care costs, patients＇ unwillingness to accept the appropriate service, lack of economic returns, clinical prevention knowledge and skills. Conclusion： It is necessary to carry out the training of clinical preventive service knowledge and skills as soon as possible to improve the level of clinical preventive service in township hospitals, and take positive measures to solve the problems of clinical preventive services.