中国卫生政策研究
中國衛生政策研究
중국위생정책연구
CHINESE JOURNAL OF HEALTH POLICY
2014年
12期
37-42
,共6页
袁莎莎%王芳%李陈晨%刘利群%周巍%傅济%刘伟%杨婷
袁莎莎%王芳%李陳晨%劉利群%週巍%傅濟%劉偉%楊婷
원사사%왕방%리진신%류리군%주외%부제%류위%양정
全科团队%专业构成%职能分工%服务模式
全科糰隊%專業構成%職能分工%服務模式
전과단대%전업구성%직능분공%복무모식
General practice team%Speciality structure%Responsibility division%service model
目的：：分析社区卫生服务中心的全科团队构成模式，为社区卫生服务模式转变提供实践经验。方法：采取目的抽样，选取在社区卫生服务模式探索较早且具有代表性的北京市、上海市、郑州市、成都市共12家社区卫生服务中心进行现场调查。采用定性调查为主、定量调查为辅的方法。结果：所调研社区卫生服务中心的全科团队构成模式可分为四类：(1)全科医生+护士+护士助理+药师；(2)医生(全科医生、中医)+护士+社区志愿者；(3)医生(全科医生/中医)+护士+助理员+社区志愿者；(4)全科医生+护士+辅助团队(公卫医师、妇保医生等)+支持团队(药房、医技等)。不同模式下，团队成员的专业类别、职责分工和团队规模有所差异。结论：以全科医生为核心，构建全科团队的做法已基本形成共识；上述四种典型全科团队构成模式各有侧重点，对于提高服务效率和质量、密切医患关系、促进社区参与和防治结合具有积极的影响。
目的：：分析社區衛生服務中心的全科糰隊構成模式，為社區衛生服務模式轉變提供實踐經驗。方法：採取目的抽樣，選取在社區衛生服務模式探索較早且具有代錶性的北京市、上海市、鄭州市、成都市共12傢社區衛生服務中心進行現場調查。採用定性調查為主、定量調查為輔的方法。結果：所調研社區衛生服務中心的全科糰隊構成模式可分為四類：(1)全科醫生+護士+護士助理+藥師；(2)醫生(全科醫生、中醫)+護士+社區誌願者；(3)醫生(全科醫生/中醫)+護士+助理員+社區誌願者；(4)全科醫生+護士+輔助糰隊(公衛醫師、婦保醫生等)+支持糰隊(藥房、醫技等)。不同模式下，糰隊成員的專業類彆、職責分工和糰隊規模有所差異。結論：以全科醫生為覈心，構建全科糰隊的做法已基本形成共識；上述四種典型全科糰隊構成模式各有側重點，對于提高服務效率和質量、密切醫患關繫、促進社區參與和防治結閤具有積極的影響。
목적：：분석사구위생복무중심적전과단대구성모식，위사구위생복무모식전변제공실천경험。방법：채취목적추양，선취재사구위생복무모식탐색교조차구유대표성적북경시、상해시、정주시、성도시공12가사구위생복무중심진행현장조사。채용정성조사위주、정량조사위보적방법。결과：소조연사구위생복무중심적전과단대구성모식가분위사류：(1)전과의생+호사+호사조리+약사；(2)의생(전과의생、중의)+호사+사구지원자；(3)의생(전과의생/중의)+호사+조리원+사구지원자；(4)전과의생+호사+보조단대(공위의사、부보의생등)+지지단대(약방、의기등)。불동모식하，단대성원적전업유별、직책분공화단대규모유소차이。결론：이전과의생위핵심，구건전과단대적주법이기본형성공식；상술사충전형전과단대구성모식각유측중점，대우제고복무효솔화질량、밀절의환관계、촉진사구삼여화방치결합구유적겁적영향。
Objective:To analyze the structure modes of general practice teams in community health care cen-ters in order to provide empirical evidence for the transformation of the community health service mode. Method:Pur-posive sampling was adopted. Twelve community health service centers in Beijing, Shanghai, Zhengzhou and Cheng-du, where the transformation of the community health service mode was piloted earlier and representative, were se-lected as the field survey sites. The qualitative method was used to collect the data accompanied by the quantitative method. Results:The structure models of general practice teams could be divided into four types:1) general practi-tioner+nurse+nurse assistant+pharmacist, 2) physician (general practitioner, herbalist physician) +nurse+com-munity volunteers, 3 ) physician ( general practitioner/herbalist physician ) +nurse +assistant +community volun-teers, and 4) general practitioner+nurse+assisting team (professionals of public health and maternal care, etc) +supportive team ( pharmacists, health technician, etc) . Conclusion:The paper verified the common sense conclusion that general practitioners should play an essential role in general practice teamwork. The four general practice team models analyzed above positively contributed to the improvement of efficiency and quality, the relationship between health professionals and patients, the promotion of community participation, and the combination between preventive care and clinical care.
