CAJ | 학술논문

目的：了解就诊患者对社区首诊制必要性及接受性的认识。方法：对上海市闸北区3家社区卫生服务中心和2家二级医院选择600名就诊患者进行问卷调查。结果：总的来看，患者对社区首诊有一定接受性，65.5%的居民认为社区首诊制有必要，62.33%的居民能够接受社区首诊制，但不同人群间有一定差异，不愿意接受社区首诊的原因主要是认为社区技术不好及药品不足，分别占67.26%和52.74%。结论：建议加强居民观念引导，提高对社区首诊制的认识；结合全科医生制度，逐步开展社区首诊的实践；从特定人群起步，逐步扩大首诊的范围；加强医保及基本药物制度的衔接。
목적：료해취진환자대사구수진제필요성급접수성적인식。방법：대상해시갑북구3가사구위생복무중심화2가이급의원선택600명취진환자진행문권조사。결과：총적래간，환자대사구수진유일정접수성，65.5%적거민인위사구수진제유필요，62.33%적거민능구접수사구수진제，단불동인군간유일정차이，불원의접수사구수진적원인주요시인위사구기술불호급약품불족，분별점67.26%화52.74%。결론：건의가강거민관념인도，제고대사구수진제적인식；결합전과의생제도，축보개전사구수진적실천；종특정인군기보，축보확대수진적범위；가강의보급기본약물제도적함접。
Objective:To get knowledge of patients’ attitude towards the first treatment in the community and their acceptance of it. Methods:A total of 600 outpatients from three community health service centers and two secondary hospitals were investigated. Results:Overall,most outpatients would like to accept the first treatment in the community. A total of 65.5%of patients believed that first treatment in the community was necessary and 62.33%of residents could accept it. But the patients with different age,education level and family income had different acceptance. The main reasons of their unwillingness to accept the first treatment in the community were lack of technical ability and insufficient drug,with the proportion of 67.26%and 52.74%,respectively. Conclusion:It is suggested to strengthen the guidance of residents’ view of the first treatment in the community and develop practice of it by taking general practitioner system into consideration. It is also suggested to conduct the first treatment in the community in special population first and enlarge the population step by step. Strengthening the connection of medical insurance and essential medicine policy are also proposed.