郑州市两种社区卫生服务模式运行效果比较

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1、摘要学意义；医生认为影响两种模式双向转诊因素中，在病人不信任双向转诊和影响机构利益上差异具有统计学意义；两种模式医生满意度在工资水平和培训内容上差异具有统计学意义，“片医"模式医生工资水平满意度低于非“片医”模式而在培训内容上高于非“片医”模式；非“片医”模式护士满意度高于“片医"模式护士满意度；居民对“片医”模式专家坐诊知晓率高于非“片医”模式；居民认为非“片医"模式2010年药物费用高于2009年的药物费用，居民对“片医”模式机构整体满意度较高，具体表现在护士服务、医疗费用、方便程度、健康教育等四个方面。结论1．郑州市社区卫生服务功能发展较好；2．两种模式比较以“片医”模式运行情

2、况相对较好；3．两种模式医生工作满意度尚可而“片医”模式护士满意度较低；4．两种模式以“片医”模式居民就医满意度较高。关键词：片医负责制社区卫生服务运行效果IIAbstract——————————————————————————————————————————————————————————————————————————————一一objectiveToinvestigatethedevelopingstatusofcommunitycomprehensiveservicesof“Doctor’SResponsibilityinLocalitySystem”inZhengzhoud

3、uringthepastfouryears，thedi骶rencesofhealthservicefunctionrealizationbetweencommunityhealthseⅣiceinstitutionsthatunderornotunderthesystem，andthesatisfactionevaluationofmedicalstaffandresidents．Toanalyzetheoperativemechanismofthetwomodesofhealthservicesystemandtheireffectontheachievementofhealths

4、ervicefunctions．andprovidethefundamentaltheoryfortheconstructionofbasicmedicalsystem．MethodsCollectthestatisticsandresearchreportsofgovernmentpolicyandthepracticalprogreSSinformationofdevelopmentofcommunityhealthservicesinZhengzhouthroughliteratureresearch；Investigatetheannualstatementsandother

5、relatedinfo珊ationofthecommunityserviceinstitutionsunderthe“Doctor’SResponsibilityinLocalitySystem’’inZhengzhouduringthepastfouryears；UsequestionnairesUrvevtoanalyzethedifferencesofrunningstatusandsatisfactionofmedicalstaffandresidentsbetweencommunityhealthserviceinstitutionsunderdifferentsystem

6、·ResuitsTheanIlualservicevolumeofZhengzhoucommunityhealthserviceinstitutionsunder‘‘Doctor，SResponsibilityinLocalitySystem’’increasedsignificantlyduringthepastfouryears．Thepercentageofbasicmedicalservicevolumeishighestwhiletherehabilitationservicevolumeandthebirthcontrolservicevolumeisrelatively

7、lower．Theportionofpreventionservicevolumeandhealtheducation，notthebasicmedicalservice，increasedyearbyyear,achievingthegoaloftransferring‘‘treatingdisease’’toIIIAbstract。·treatinghealth，，．Fortheresourcesallocation，‘‘Donor’SResponsi