CAJ | 학술논문

目的：通过对市级医院和社康中心医师日常接诊状况的调查,分析社康中心建设对缓解大医院就诊压力所起的作用。方法问卷调查深圳市3家市级医院的169名医师和8家社康中心59名医师,分析比较日接诊人次、转诊比例等状况。结果市级医院内科医生日接诊量50人次以上者占大多数(43.8%),社康中心医师日接诊量在30~50人次的占大多数(40.6%)。市级医院口腔医生中,50.9%认为接受社康中心转诊而来就诊的患者比例不到10%,32.1%报告因对专业分科不明确而挂错号的患者占25%以上。结论深圳市市级医院医生仍面临高强的门诊压力,社区首诊与转诊制仍度需进一步推进。
목적：통과대시급의원화사강중심의사일상접진상황적조사,분석사강중심건설대완해대의원취진압력소기적작용。방법문권조사심수시3가시급의원적169명의사화8가사강중심59명의사,분석비교일접진인차、전진비례등상황。결과시급의원내과의생일접진량50인차이상자점대다수(43.8%),사강중심의사일접진량재30~50인차적점대다수(40.6%)。시급의원구강의생중,50.9%인위접수사강중심전진이래취진적환자비례불도10%,32.1%보고인대전업분과불명학이괘착호적환자점25%이상。결론심수시시급의원의생잉면림고강적문진압력,사구수진여전진제잉도수진일보추진。
Objectives To analyze the functions of the community health service centers (CHSCs)on easing pres-sures for municipal hospitals according to survey on the clinical reception of both CHSCs and municipal hospitals. Methods Questionnaires about daily clinical reception from 1 69 doctors in 3 municipal hospitals and 59 doctors in 8 CHSCs of Shenzhen were obtained.The amount of daily patient visits and proportion of referrals were analyzed.Re-sults The major workload of clinicians in municipal hospital was more than 50 patients per day,and that in CHSC was between 30 and 50.In addition,50.9% of the municipal hospital dental clinicians'questionnaires indicated that the amount of referral from CHSCs was less than 10%.And 32.1% dental clinicians reported that 25% patients were incorrectly registered because of unawareness of dental specialization.Conclusions The municipal hospital doc-tors of Shenzhen still face a great pressure of outpatient treatment.Moreover,the community first diagnosis and re-ferral system still need to be improved.