新疆某三甲医院医联体对基层医院提供医疗技术现况调查

Inventory survey on medical association of a top three hospital in Xinjiang providing medical technology for primary hospital

目的了解新疆某三甲医院医联体对基层医疗机构提供医疗技术援助情况,探讨其综合效益作用。方法对接受医疗技术援助的33所县市级医疗机构进行问卷调查,定量数据统计描述采用相对数,统计推断采用卡方检验,综合效益运用综合指数法进行评价。结果两疆域33所县市级医疗机构接受核心医院医疗技术援助的医疗队伍支援、专家坐诊、协助手术、专题讲座、远程会诊、示教查房、疑难病例讨论、教学、培训、心电诊断等方面,两疆域市县级医院接受核心医院医疗支援项目情况比较显示除远程会诊(P>0.05)、专家坐诊(P>0.05),差异无统计学意义外,其余远程会诊(P<0.05),进修、学习、培训(P<0.05),心电诊断(P<0.01)、协助手术(P>0.05)、专题讲座(P>0.05)、示教查房(P>0.05)、疑难病例讨论(P>0.05)差异均有统计学意义;接受医疗支援开展项目综合效益为东疆(3.94)好于北疆(3.06)。结论通过对新疆某三甲医院医联体对基层医疗机构提供医疗技术援助情况分析,应加强提供医疗队伍支援、专家坐诊、协助手术、专题讲座、远程会诊方面支援,加大北疆地区医疗支援,有益于推动西部医疗卫生事业的发展。

[Objective]To understand the medical technical assistance provided by the medical association of a top three hospital in Xinjiang for the basic medical institutions,and explore its comprehensive benefits.[Methods] A total of 33 county and municipal medical institutions which accepted medical technical assistance were investigated by questionnaires. The quantitative data was described by relative number,and chi-square test was used to statistical inference,and the comprehensive benefit was evaluated by comprehensive index method.[Results] The medical technical assistance accepted by 33 medical institutions included medical team support,expert visit,assist the surgery,special topic lecture,remote consultation,teaching rounds,difficult case discussion,teaching,training and ECG diagnosis. Except the remote consultation and expert visit,the differences of other items in city and county hospitals in Northern Xinjiang and Eastern Xinjiang were all statistically significant（all P 0.05）. The comprehensive benefit of receiving medical support in Eastern Xinjiang（3.94） was better than that in Northern Xinjiang（3.06）.[Conclusion]According the analysis of medical technical assistance provided by the medical association of a top three hospital in Xinjiang for the basic medical institutions,the support of medical team support,expert visit,special topic lecture and remote consultation should be strengthened,and the medical support for Northern Xinjiang should be increased to promote the development of western medical and health services.