基层医生对基层医疗机构服务能力提升认知情况调查研究

A Survey on Grassroots Doctors’Awareness of the Service Capacity Improvement of Primary Medical Institutions

目的了解贵州省基层医生对基层医疗机构服务能力提升的认知情况,为基层医疗机构服务能力提升制定政策提供参考。方法采用分层随机抽样选取贵州省内9个地市/州基层医疗机构医生共430人进行问卷调查。结果基层医生对基层医疗机构服务能力提升总体认知程度较高(86.1%),医生的性别、年龄、月收入、认为上级医院帮扶对基层医疗机构服务能力提升的有利程度、对接受上级医院帮扶的必要程度、对基层医疗机构与上级医院建立的医联体/医共体了解度和上级医院帮扶的最佳形式对基层医疗机构服务能力提升的认知情况有影响。结论上级帮扶作用较大,但基层医疗机构医务人员无医疗技能的学习机会且机构重视培训程度不足,短期内难以提高其服务质量且无法满足辖区内患者的医疗卫生需求。建议高度重视和加强基层医疗机构人员的培训、推行同质化医学教育的培养模式、探索服务模式的转变和服务内容的延伸以及健全相关配套机制。

OBJECTIVE To understand the awareness of primary doctors of Guizhou Province on the improvement of service capabilities of primary medical institutions,and provide a reference for the formulation of policies for improving the service capabilities of primary medical institutions.METHODS A stratified random sampling is used to select 430 doctors from 9 primary(city/state)primary medical institutions in Guizhou Province for questionnaire survey.RESULTS Doctors have a higher overall awareness of the service capacity of primary medical institutions(86.1%).After multiple linear regression analysis,gender,age,monthly income,favorable level of assistance from higher-level hospitals,the need to receive assistance from higher-level hospitals,the understanding of the grassroots medical association/medical community established by medical institutions and higher-level hospitals,and the best form of assistance from higher-level hospitals have an impact on the awareness of the service capacity of primary medical institutions.CONCLUSION Higher-level assistance has a greater role,but the medical staff of primary medical institutions do not have the opportunity to learn medical skills and the organization attaches insufficient training.It is difficult to improve their service quality in the short term and cannot meet the medical and health needs of patients in their jurisdictions.Training of personnel,training mode of promoting homogeneous medical education,exploring the change of service mode and extension of service content,and improving related supporting mechanisms.