CAJ | 학술논문

目的：分析本地社区医生慢性病(以高血压和糖尿病为代表)管理相关技能的水平，为今后慢性病管理工作的进一步发展提供依据。方法采用无记名问卷调查的方法，分别从一般资料、基础理论和宣教技能三个方面，对本中心辖下七个社区卫生服务站参与慢性病管理的55名医生进行问卷调查。结果目前本地区负责慢性病管理的社区医生群体，普遍学历、职称偏低(本科及以上学历仅占49.09%，中级及以上职称仅占12.72%)，相关慢性病专科基础理论薄弱，缺乏相对应的健康宣教技能和培训。结论进一步深化医疗改革，落实社区医生编制和待遇，逐步建立统一规范的全科医生培养制度，不断提高社区医生的综合业务素质，是提升慢性病管理质量的重要保证。
목적：분석본지사구의생만성병(이고혈압화당뇨병위대표)관리상관기능적수평，위금후만성병관리공작적진일보발전제공의거。방법채용무기명문권조사적방법，분별종일반자료、기출이론화선교기능삼개방면，대본중심할하칠개사구위생복무참삼여만성병관리적55명의생진행문권조사。결과목전본지구부책만성병관리적사구의생군체，보편학력、직칭편저(본과급이상학력부점49.09%，중급급이상직칭부점12.72%)，상관만성병전과기출이론박약，결핍상대응적건강선교기능화배훈。결론진일보심화의료개혁，락실사구의생편제화대우，축보건립통일규범적전과의생배양제도，불단제고사구의생적종합업무소질，시제승만성병관리질량적중요보증。
Objective To analyze the level of local community physician’ skill related to management of chronic dis-ease on representative of hypertension and diabetes mellitus so as to provide basis for further development of manage-ment of chronic disease. Methods By anonymous questionnaire survey,55 physicians engaging in management of chronic disease in 7 community health service stations under supervision of our center were investigated on 3 aspects including demographic information,basic theory and promotion skill. Results The overall background education and pro-fessional title in the community physicians responsible for management of chronic disease were inferior.To be specific, the background education in bachelor degree and above only accounted for 49.09%,and the professional title in medi-um-grade and above merely accounted for 12.72%.The basic theory of specialty in related chronic disease was weak and the corresponding health promotion skill and training were in shortage. Conclusion The significant guarantee on improving management quality of chronic disease is to further deepen medical reform,put manning quotas and salary of community physicians into practice,gradually establish a standardized training system for general practitioner and con-tinually improve integrated professional skill of community physician.