北京市城区签约居民对家庭医生式服务评价的定性研究

Family Doctor Service Evaluation by Beijing Urban Contract-signing Residents: A Qualitative Study

目的了解北京市城区签约居民对家庭医生式服务的评价,探讨影响家庭医生式服务发展的因素,从而为家庭医生式服务的可持续发展提供建议。方法采用方便抽样方法,在北京市2个城区(西城区、丰台区)选取3家社区卫生服务中心,在每家社区卫生服务中心分别选取4例签约居民,共12例签约居民为研究对象。采用个人深度访谈方法,于2016年4—5月对12例签约居民进行访谈。访谈的主要内容包括:签约居民对家庭医生式服务的认识;对家庭医生式服务内容的利用、评价以及需求;家庭医生式服务存在的问题。对访谈资料进行整理归纳,总结出访谈主题。结果通过对访谈资料进行分析,提炼出5个主题:(1)大多数签约居民认为家庭医生式服务的有效宣传途径为开展健康讲座;(2)大部分签约居民对家庭医生式服务的认识水平提高;(3)签约居民对家庭医生式服务的开展逐渐认可;(4)部分家庭医生式服务内容落实不到位;(5)社区卫生服务机构药品种类不全。结论北京市城区签约居民对家庭医生式服务有一定程度的了解,应继续加强对家庭医生式服务的宣传力度,明确家庭医生式服务的核心内容,不断完善相关政策与措施,从而促进家庭医生式服务的发展。

Objective In order to provide suggestions to promote the sustainable development of family doctor service system, related individual interviews were conducted in some Beijing urban contract - resigning residents, which is helpful for us to know the correlation factors of family doctor service. Methods By convenience sampling, we selected three community health service centers （CHSCs） from two urban districts of Beijing （Xicheng and Fengtai Districts） , and from each of the CHSCs, four contract - resigning residents were chosen, and the participants recruited were a total of 12 contract - resigning residents. From April to May 2016, intensive individual interviews were conducted in the participants, which included the level of understanding of family doctor service, application, evaluation and demand of family doctor service, and problems existing in the carrying out of family doctor service. The interview data were sorted out, so as to sum up the main points. Results The interview data mainly covered five main points ： （ 1 ） in terms of the effective way for publicizing family doctor service, health seminars were put forward by most of the participants ; （2） with regard to the level of understanding of family doctor service, it was thought to have been improved by most of the participants ; （ 3 ） in the aspect of development of family doctor service, it was considered to be acceptable gradually ; （4） in the respect of implementation of family doctor service, partial services included in the contract were thought to be unimplemented ; （5） as regards the medicines supplied by the CHSCs, comprehensive range of medicines were thought to be unavailable. Conclusion The interview showed that Beijing urban contract - resigning residents have gained some insights into family doctor service. Therefore, in order to promote the development of family doctor service system, we should energetically publicize it, and identify its core services, and continually perfect the relevant policies and measures.