[1]邹慕蓉,练 璐,陈家应,等.居民对分级诊疗的接受度与期望研究[J].卫生经济研究,2020,(04):37-40.
 ZOU Mu-rong,LIAN Lu,CHEN Jia-ying,et al.Research on Residents' Acceptance and Expectation of Graded Diagnosis and Treatment[J].Journal Press of Health Economics Research,2020,(04):37-40.
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居民对分级诊疗的接受度与期望研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2020年04期
页码:
37-40
栏目:
卫生服务
出版日期:
2020-04-02

文章信息/Info

Title:
Research on Residents' Acceptance and Expectation of Graded Diagnosis and Treatment
作者:
邹慕蓉1练 璐1陈家应12朱 亚12王萱萱12
1.南京医科大学医政学院,江苏 南京211166
2.南京医科大学健康江苏研究院,江苏 南京211166
Author(s):
ZOU Mu-rongLIAN LuCHEN Jia-yingZHU YaWANG Xuan-xuan
School of Medical Administration,Nanjing Medical University,Nanjing Jiangsu 211166,China
关键词:
分级诊疗家庭医生签约服务未签约居民接受度期望
Keywords:
graded diagnosis and treatmentfamily doctor contracted servicesunsigned residentsacceptanceexpectations
分类号:
R197
文献标志码:
A
摘要:
目的:调查居民对分级诊疗的接受度与期望,为完善分级诊疗制度提供参考。方法:采取随机抽样法,在南京市浦口区11个社区中各抽取100位未签约家庭医生的居民进行问卷调查。结果:知晓家庭医生制度、参加城镇职工医保、患有慢性病的居民更能接受社区首诊。居民最希望家庭医生提供的服务分别是定期体检、常见病诊治、慢性病治疗和指导、随时获得服务和健康指导,以及紧急情况的抢救。结论:提升家庭医生签约服务普及度,充分利用医保的引导和激励作用,将家庭医生签约服务从重点人群逐步扩大到普通人群,强化对常见病诊治以及其他由基层医疗机构承
Abstract:
Objective To investigate the residents' acceptance and expectation of graded diagnosis and treatment,and provide a reference for improving the graded diagnosis and treatment system. Methods A random sampling method was used to select 100 residents without signed family doctors from 11 communities in Pukou District of Nanjing City to conduct a questionnaire survey. Results Residents who knew the family doctor system,participated in urban employee medical insurance,and had chronic diseases were more likely to receive community first consultation. Residents most wanted services provided by family doctors were regular medical examinations,diagnosis and treatment of common diseases,treatment and guidance of chronic diseases,access to services and health guidance at any time,and emergency rescue. Conclusion We should increase the popularity of family doctor contracting services,make full use of the guidance and incentives of medical insurance,gradually expand the family doctor contracting services from the key population to the general population,strengthen the diagnosis and treatment of common diseases and other responsibilities and functions assumed by primary medical institutions and promote the implementation of the hierarchical diagnosis and treatment system.

参考文献/References:

[1] 王虎峰,元瑾.对建立分级诊疗制度相关问题的探讨[J].中国医疗管理科学,2015,5(1):11-15.
[2] 熊婷,陈家应,胡丹,等.南京市浦口区家庭医生签约服务开展现况调研[J].中国全科医学,2018(33):4057-4061.
[3] 朱美玲,李文祯,陈雅雯,等.城镇职工医保患者对社区首诊制的接受度及影响因素研究[J].中国全科医学,2017,20(1):34-39.
[4] 王荣华,李云涛,汤忠泉,等.我国居民签约家庭医生意愿率的Meta分析[J].中国全科医学,2019,22(4):395-401.
[5] 邓茜月,张桐,陈倩,等.社区居民对家庭医生签约服务期望及意愿分析[J].管理观察,2019(18):58-59.
[6] 苗春霞,卓朗,李寒寒,等.分级诊疗制度下徐州市社区居民的社区卫生服务机构首诊情况及影响因素研究[J].中国全科医学,2017,20(25):3104-3108.
[7] 巫蓉,朱锦,张榕榕,等.供需双方对家庭医生签约服务评价研究[J].中国农村卫生事业管理,2019,39(4):236-240.
[8] 赵忠辉,苗春霞,卓朗,等.徐州市社区居民分级诊疗制度知晓情况及影响因素研究[J].中国全科医学,2017,20(25):3094-3098.
[9] 崔华欠,方国瑜,杨阳,等.广州市社区居民对分级诊疗模式的知晓和认知情况调查[J].中国全科医学,2014,17(34):4123-4126.
[10] 陈滨涛,王建玲,佘敦宇,等.分级诊疗医保联动机制研究背景、主要发现及政策建议[J].中国农村卫生事业管理,2017(2):121-123.

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更新日期/Last Update: 2020-04-02