医务人员对家庭医生签约服务的认知情况调查

Investigation on Medical Staff' Cognition of Family Doctor Signing Service

目的了解医务人员对家庭医生签约服务的认知情况与对基层卫生建设的改进建议,为进一步推进家庭医生签约服务落到实处提供帮助。方法对492名医务人员进行问卷调查。结果 (1)30~50岁年龄段最多(321,64.46%),本科学历占比例最高(233,47.35%),中级职称最多(196,39.84%),所从事专业中全科医生最多(244,49.00%),来自社区服务中心及乡镇卫生院医生最多(200,40.16%)。(2)156人(占31.33%)参与了家庭医生签约服务工作,218人(占43.78%)愿意参与,不愿意的原因主要包括:106人(占21.29%)认为居民不认可,96人(占19.28%)认为国家政策不能激励医务人员积极性;家庭医生签约服务对象:215人(占43.17%)认为是慢性病患者;家庭医生签约服务内容:常见病诊治432人(占86.75%)和慢病管理404人(占81.12%);家庭签约服务推进中存在的最主要问题:基层全科医生医疗能力待提高(453,90.96%);需要政府重点解决的问题:家庭医生签约服务的质和量要与医生收入相应(455,91.37%)。(3)289人(占58.03%)认为了解基层医疗单位,基层医疗单位存在的问题:社区医生医疗技能差(453,90.96%),和居民不信任社区医生(402,80.72%)。(4)对基层卫生建设改进建议:加强医院对基层医疗单位的扶持力度和对基层医务人员的培训,提高基层医务人员的待遇。结论落实家庭签约服务,政府要继续加强政策支持,强化综合医院对基层医疗机构的支撑,同时也要加强基层卫生建设,提高全科医生服务能力,保证家庭医生签约服务顺利进行。

Objective To investigate the cognitive status of medical staff about family doctor signing service and suggestions for the construction of basic health system in order to provide suggestions for further promotion of the family doctor service. Methods A total of 492 medical staff were asked to fill in the questionnaire survey. Results （1）The majority staff were between 30 and 50 years old （321,64.46%） , in possession of bachelor＇ s degree （233,47.35%）, with intermediate professional title （ 196, 39.84% ） , majoring in general practitioner （244, 49.00% ） , and from community service centers and township hospitals （200,40.16%）. （2）A total of 156 staff （31.33%） were involved in the family doctor service, and 218 staff （43.78%） were willing to participate in the family doctor signing service. The reasons of reluctance mainly included： 106 staff （21.29%） thought that residents didn＇t recognize it, 96 staff （ 19.28% ） thought that national policy could not motivate staff enthusiasm. According to 215 staff（43. 17% ）, the signed service objects were patients with chronic diseases. And 432 staff （86.75%） and 404 staff（81.12% ） believed that the main content of family doctor signing service was the diagnosis and treatment of common diseases and the management of chronic disease respectively. The main problem in the promotion of family doctor signing service was the improvement of medical performance of basic general practitioners （453,90.96%）. Problem that required government focus was that the quality and quantity of family doctor signing service should be eommensurated with the doctor＇ s income （455,91.37%）. （3）Besides, 289 staff （58.03%） thought they knew the family doctor signing service. Medical staff thought the problems of the basic health system were the poor medical skills of the community doctors （453, 90.96% ） and the residents＇ distrust of the community doctors （402, 80.72% ）. （4）Suggestions for improvement of the basic health system were to strengthen the hospitals＇ support and training for the basic health system and to improve the treatment of the basic medical staff. Con- dusion The government should continue to strengthen the policy support, the comprehensive hospitals＇ support for bas- ic medical institutions and the construction of basic health system in order to improve the ability of general practitioner services and ensure that the family doctor signing service goes smoothly.