CAJ | 학술논문

目的：为提高社区卫生综合实力促进可持续发展，增加合理经济收入，着重解决社区卫生服务中心（以下称社卫中心）站点开展检验难、群众不便、医疗质量提高受限等问题。方法：收集站点分散的医学检验资源，成立自身中心检验室集中检测，建立站点标本采集、查对、保管、运输、集中检验、结果反馈等完整配套运作系统，探索固定模式。2013年11月-2014年10月站点检验资源整合后的检测数量及经济收入为研究组；2011年11月-2012年10月整合前的检测数量和经济收入为对照组，观察两组差异。另外，调查整合后患者及医务人员满意度，研究满意度调查、医疗质量及社卫中心综合实力提高的评估方法。结果：整合站点医学检验资源的创新模式增加合理经济收入，医疗质量、群众和医生满意度得到大幅提高。两组满意度分别为89.0%和72.0%，差异有统计学意义（P<0.05）；研究组经济收入高于对照组，单个项目检验时间低于对照组，差异均有统计学意义（P<0.05）。结论：社卫中心整合站点分散医学检验资源可提高社区卫生综合实力促进可持续发展，这种新型的运作模式能增加经济收入，减少单项检验成本，显著提高满意度及医疗质量，具有较好的推广应用价值。
목적：위제고사구위생종합실력촉진가지속발전，증가합리경제수입，착중해결사구위생복무중심（이하칭사위중심）참점개전검험난、군음불편、의료질량제고수한등문제。방법：수집참점분산적의학검험자원，성립자신중심검험실집중검측，건립참점표본채집、사대、보관、운수、집중검험、결과반궤등완정배투운작계통，탐색고정모식。2013년11월-2014년10월참점검험자원정합후적검측수량급경제수입위연구조；2011년11월-2012년10월정합전적검측수량화경제수입위대조조，관찰량조차이。령외，조사정합후환자급의무인원만의도，연구만의도조사、의료질량급사위중심종합실력제고적평고방법。결과：정합참점의학검험자원적창신모식증가합리경제수입，의료질량、군음화의생만의도득도대폭제고。량조만의도분별위89.0%화72.0%，차이유통계학의의（P<0.05）；연구조경제수입고우대조조，단개항목검험시간저우대조조，차이균유통계학의의（P<0.05）。결론：사위중심정합참점분산의학검험자원가제고사구위생종합실력촉진가지속발전，저충신형적운작모식능증가경제수입，감소단항검험성본，현저제고만의도급의료질량，구유교호적추엄응용개치。
Objective:To improve the overall strength of community health to promote sustainable development, increase reasonable income, focus on solving community health service centers (hereinafter referred to as community health centers) to carry out site inspection difficult, inconvenient people, improve the quality of medical issues limited. Method:The medical test sites scattered resources to set up its own central laboratory focused on testing, specimen collection sites established, check, storage, transportation, centralized testing, the results of the operation of the system feedback such as a complete package, exploring a fixed pattern.After the election from November 2013 to October 2014 site inspection to detect the number of resource integration and economic income were selected for the study group.Detecting the number and economic integration between income before election as the control group from November 2011 to October 2012, and the differences were observed.In addition, patients and medical staff satisfaction survey after integration, satisfaction surveys, quality of medical care and community health centers to improve the overall strength of the assessment methods were studied.Result:Integration site medical test innovative models to increase resources and reasonable income, quality of care, and physician satisfaction of the people had been greatly improved.After statistical analysis, the two groups were 89.0% satisfaction and 72.0%, the difference was statistically significant (P<0.05); the study group was higher income, single item test of time than the control group, there were significant differences (P<0.05).Conclusion:Social health center integration site dispersed medical laboratory resources can improve community health comprehensive strength of promoting sustainable development, this new mode of operation can increasing the economic income, reduce the individual test cost, significantly improve the satisfaction and the quality of medical treatment, is higher application value.