|本期目录/Table of Contents|

[1]周源,沈蔷,潘琦,等.北京市某区全科医生对“专科-全科”模式家庭医生团队需求现状分析[J].慢性病学杂志,2020,21(11):1636-1640.
　ZHOUYuan *,SHENQiang,PANQi,et al.Analysis on the demand of general practitioners for "specialist-general practitioner" model family doctor team in a certain district of Beijing[J].,2020,21(11):1636-1640.
点击复制

北京市某区全科医生对“专科-全科”模式家庭医生团队需求现状分析

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年11期
页码:
1636-1640
栏目:
论　著
出版日期:
2020-11-28

文章信息/Info

Title:
Analysis on the demand of general practitioners for "specialist-general practitioner" model family doctor team in a certain district of Beijing
作者:
周源1; 沈蔷2; 潘琦3; 田瑶1; 张璐1; 耿俊龙2
1.北京市东城区和平里社区卫生服务中心，北京 100011； 2.北京市东城区社区卫生服务管理中心，北京 100010； 3.北京医院，北京 100730
Author(s):
ZHOUYuan * ; SHENQiang; PANQi; TIANYao; ZHANGLu; GENGJun-long
*HepingliCommunity HealthServiceCenter,DongchengDistrict,Beijing100011,China Correspondingauthor:SHENQiang,E-mail:shenzhaotong@263.net
关键词:
“专科-全科”团队; 全科医生; 健康顾问; 需求
Keywords:
Specialist-general practitioner model;  General practitioner;  Health consultant;  Demand
分类号:
R192.3
DOI:
-
摘要:
目的 探讨北京市东城区全科医生对“专科-全科”团队模式的需求情况。方法 采取整群抽样方法于 2020年1月选择北京市东城区9个社区卫生服务中心的全部全科医生349人（含管理岗位人员）为研究对象，设 计调查问卷并统一通过手机微信填写，分析全科医生作为居民健康顾问的能力、成为签约居民健康顾问需要专科 支持的情况、对组建“专科-全科”家医团队的意愿及态度。结果 成为签约居民健康顾问的能力调查中，西医 全科医生和中医全科医生在成为健康顾问能力自我认识比较，差异无统计学意义（P>0.05），有足够能力的人员 所占比例均较少（分别为25.8%、19.6%），有基本能力的比例较大（分别为62.9%、72.5%），能力不足的比例较 少（分别为11.3%、7.9%）。在专科支持需求方面，需要专科医生支持的占总人数的95.7%，支持的内容包括：减 少患者专科医院的就诊时间和次数、帮助提供准确的医疗建议、帮助学习专科知识、及时向专科医生转诊；而对 专科科室的需求情况，以内科相关科室需求最大，西医全科、中医全科分别为84.2%和91.9%。对组建“专科-全 科”团队模式的意愿、态度方面，90.9%的人表示非常愿意合作，73.4%的人对该服务模式前景乐观。对影响全 科医生参与“专科-全科”团队意愿的多因素分析发现，“是否希望成为签约居民健康顾问”为其相关因素，差异 有统计学意义（OR=33.055，P<0.05）。结论 全科医生对“专科-全科”团队模式具有较高的需求，该模式 或可促进全科医生提高其家庭健康顾问的能力。
Abstract:
Objective To probe into the demand for building the specialist-general practitioner family doctor system among general practitioners（GPs）in Dongcheng District of Beijing. Methods Accord-ing to the principles of cluster sampling, 349 general practitioners（including management staff）from 9 community health service centers in Dongcheng District of Beijing were selected as the research objects. Questionnaires were designed and filled in through WeChat App. Analysis were performed on the com-petence of GPs as resident health consultants, their need for specialist support after becoming resident health consultants, and their demand for the specialist-general practitioner family doctor system. Results In the survey on the ability to become contracted residents’health consultants, there was no statistical-ly significant difference in the self-recognition of the ability to become health consultants betweenWestern medicine GPs and traditional Chinese medicine GPs（P>0.05）. The proportion of people with sufficient ability was small （25.8% , 19.6%）, while the proportion with basic ability was large （62.9%,72.5%）, and the proportion with insufficient ability was small（11.3%,7.9%）. In terms of specialists’support, 95.7% of GPs needed specialists’support which included reducing the time and frequency of patients’visits to specialized hospitals, helping them provide accurate medical advice, helping them learn specialist knowledge and timely referral to specialist doctors. In terms of the de-mand for specialized departments, the largest demand was internal medicine related departments with 84.2% Western medicine and91.9% traditional Chinese medicine, respectively. With regard to willing-ness and attitude towards the formation of "specialist-general practitioner" team model, 90.9% of GPs expressed their willingness to cooperate, and 73.4% of GPs were optimistic about the prospects of the service model. The multi-factor analysis showed that "whether they want to be a contracted resident health consultant" was the relevant factor of GPs’willingness to participate in the "specialist-general practitioner" team（OR=33.055, P<0.05）. Conclusion GPs have a high demand for the specialist-general practitioner family doctor system, which may promote GPs to improve the capacity of family health consultant.

参考文献/References:

[1] 王莹.全科医生在社区慢病控制三级预防体系中的作用和优势 [J].中国卫生产业,2019,16(32):63-65. [2] 刘颖,任菁菁.分级诊疗制度下我国亚专长全科医生的发展及国 外启示[J].中国全科医学,2019,22(22):2719-2721,2725. [3] 杨惠,裴冬梅,戚丽.怎样构建全科医生的知识结构[J].中国卫生 产业,2019,16(20):139-140. [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] 杨辉,韩建军,许岩丽.中国全科医生队伍建设的发展、挑战与展 望[J].中国全科医学,2019,22(19):2267-2279. [6] 程洁,徐向天,王哲,等.医联体“专全结合”慢性病管理模式及其对 开展分级诊疗的作用研究[J].中国全科医学,2018,21(34):4178-4182. [7] 潘桂俊,王惠华,唐慧芸,等.专科-全科联合团队模式下慢性心力 衰竭患者的社区管理研究[J].中华全科医学,2016,14(9):1522-1524，1588. [8] 陈豪. “中西医结合1+1”家庭医生团队服务模式阶段性成效研究 [J].中国医院,2018,22(10):46-47. [9] 曾学军,沙悦,王芳,等. “新医改形势下全科人才培养”主题研讨 [J].中国全科医学,2018,21(28):3500-3507.

备注/Memo

备注/Memo:
基金项目：北京市首都卫生发展科研专项（2018-3-7012） 作者简介：周源，硕士，主治医师，研究方向：社区常见病的防治 通信作者：沈蔷，E-mail: shenzhaotong@263.net
更新日期/Last Update: 2020-11-28