中国医院
中國醫院
중국의원
CHINESE HOSPITALS
2014年
5期
10-13
,共4页
陈英耀%刘文彬%张丹%刘庭芳
陳英耀%劉文彬%張丹%劉庭芳
진영요%류문빈%장단%류정방
片医负责制%社区卫生服务%效果评价%指标体系
片醫負責製%社區衛生服務%效果評價%指標體繫
편의부책제%사구위생복무%효과평개%지표체계
district doctors’ responsibility system%community health service%effect evaluation%index system
目的:评估郑州“片医负责制”社区卫生服务体系的实施效果,并对郑州“片医负责制”模式实施与推广方面的经验进行全面总结。方法:通过文献回顾和专家分析,构建效果评价指标体系;随机选择部分社区卫生服务中心进行现场调查,收集相关指标数据;采用配对秩和检验方法,对推行片医模式前后相关指标的变化进行统计分析。结果与结论:实施片医模式之后,社区卫生服务中心工作效率显著上升;服务效果显著改善,在特殊人群规范管理、规范转诊、社区60岁老人体检、妇女病普查等多项工作方面成绩显著。
目的:評估鄭州“片醫負責製”社區衛生服務體繫的實施效果,併對鄭州“片醫負責製”模式實施與推廣方麵的經驗進行全麵總結。方法:通過文獻迴顧和專傢分析,構建效果評價指標體繫;隨機選擇部分社區衛生服務中心進行現場調查,收集相關指標數據;採用配對秩和檢驗方法,對推行片醫模式前後相關指標的變化進行統計分析。結果與結論:實施片醫模式之後,社區衛生服務中心工作效率顯著上升;服務效果顯著改善,在特殊人群規範管理、規範轉診、社區60歲老人體檢、婦女病普查等多項工作方麵成績顯著。
목적:평고정주“편의부책제”사구위생복무체계적실시효과,병대정주“편의부책제”모식실시여추엄방면적경험진행전면총결。방법:통과문헌회고화전가분석,구건효과평개지표체계;수궤선택부분사구위생복무중심진행현장조사,수집상관지표수거;채용배대질화검험방법,대추행편의모식전후상관지표적변화진행통계분석。결과여결론:실시편의모식지후,사구위생복무중심공작효솔현저상승;복무효과현저개선,재특수인군규범관리、규범전진、사구60세노인체검、부녀병보사등다항공작방면성적현저。
Objectives: To assess the implementation effect of responsibility mechanism of regional doctors and to summarize the Zhengzhou experience in practicing and implementing these mechanism. Methods: Literature review and specialist consultation were applied to construct the assessment index system. Field survey was held in some community health service centers, which were randomly selected, to collect data about the indicators in the index system. Paired Wilcoxon Rank Sum Test was applied to compare the difference in the indicators pre- and post- the implementation of responsibility mechanism of regional doctors. Results and Recommendations: After the implementation of responsibility mechanism of regional doctors, the efficient of community health service centers rose significantly. The effectiveness of health services also greatly improved in the aspects of standard management for special population, formal referral, physical examination for the residents over 60 years old and the screening for gynecological diseases.