家庭医生签约示范工作室建设的定性研究——以成都市为例
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摘要
目的:调查成都市社区卫生服务中心(以下简称"社区")家庭医生签约工作室(以下简称"签约工作室")的建设现状,为规范成都市家庭医生签约示范工作室建设提出建议。方法:通过立意抽样,实地观察与个人深度访谈相结合的方法,对成都市下属的8个社区进行调查。结果:8个社区中,3个社区未建设签约工作室。5个社区设有签约工作室,但签约工作室命名均不统一,建设面积、设施设备参差不齐,有小到不足10平方米,大到约30平方米。其中,只有3个签约工作室有专门进行室内设计。结论:各社区应规范签约工作室命名,面积及室内布局,设施设备及颜色格调等,进一步优化建设有个性化,有内涵功能的签约工作室,构建签约服务一体化的模式。
Objective To investigate the present situation of the construction of the contract workshop for family doctors in Chengdu Community Health Service Center( hereinafter referred to as"community"). In order to standardize Chengdu family doctor contract model studio construction suggestions. Methods 8 communities in Chengdu were investigated by means of intention sampling,field observation and personal in-depth interview. Results In 8 communities,3 communities did not build contract studio. 5 communities have contract studio,but the naming of contract studio is not uniform,construction area,facility and equipment are not uniform,some smaller than 10 square meters,some up to about 30 square meters. Among them,only 3 sign-up studios have dedicated interior design. Conclusion All the communities should standardize the naming,area and layout,facilities,equipment and color style of the contract studio,and further optimize the construction of the contract studio with individualized and connotative functions,and construct the mode of integration of contract service.
Objective To investigate the present situation of the construction of the contract workshop for family doctors in Chengdu Community Health Service Center( hereinafter referred to as"community"). In order to standardize Chengdu family doctor contract model studio construction suggestions. Methods 8 communities in Chengdu were investigated by means of intention sampling,field observation and personal in-depth interview. Results In 8 communities,3 communities did not build contract studio. 5 communities have contract studio,but the naming of contract studio is not uniform,construction area,facility and equipment are not uniform,some smaller than 10 square meters,some up to about 30 square meters. Among them,only 3 sign-up studios have dedicated interior design. Conclusion All the communities should standardize the naming,area and layout,facilities,equipment and color style of the contract studio,and further optimize the construction of the contract studio with individualized and connotative functions,and construct the mode of integration of contract service.
引文
[1] 国务院.国务院关于印发推进家庭医生签约服务指导意见的通知[Z].国医改办发[2016]1号,2016.http://www.gov.cn/xinwen/2016-06/06/content_5079984.htm.
[2] 国务院.关于做实做好2017年家庭医生签约服务工作的通知[Z].国卫基层函[2017]164号,2017.http://www.nhc.gov.cn/jws/s3581r/201705/ecd779e08d7f4ec4b2e13905ace5c39d.shtml.
[3] 四川省卫生健康委员会.关于印发四川省推进家庭医生签约服务的实施意见的通知[Z].川卫发[2017]28号,2017.http://www.scwst.gov.cn/wj/zcwjjjd/zcwj/201705/t20170519_13563.html.
[4] 蔡宁伟,于慧萍,张丽华.参与式观察与非参与式在案例中的应用[J].管理学刊,2015,28(04):66-69.
[5] Eric Vermeulen.Dealing with doubt:Making decisions in a neonatal ward in The Netherlands [J].Social Science & Medicine,2004,59(10):2071–2085.
[6] 李鲁,等.社会医学[M].北京:人民卫生出版社,2011.71-76.
[7] 张孔来,刘民.定性研究方法在流行病学研究中的应用[J].中国流行病学杂志,2000,21(1):72-73.
[8] 肖峰,吴小岭,赵德余.家庭医生制:基本医疗服务卫生服务模式新探索[J].中国市场,2012,19(29):84-90.
[9] 陆萍,朱杰,金敏洁,等.家庭医生工作室标准化建设及服务效果研究[J].中国全科医学,2016,19(31):3776-3780.
[10] 高胤昊,朱建荣,王延秋,等.家庭医生工作室服务模式的实践和优化[J].中国卫生产业,2016,13(24):191-192.
[11] 钟宇,刘露霞,聂小旭,等.基于“签、约、服”三环节的医防融合式家庭医生工作室构建研究[J].中国全科医学,2018,21(31):3818-3822.
[12] 叶明浩,张巧,周路路,等.家庭医生工作室在提高全科医生儿科诊疗能力中的作用[J].中国社区医师,2018,34(28):180-181.
[13] 赵伟,李薇.依托家庭医生工作室对社区高血压患者心血管危险因素综合管理的效果[J].中国循证心血管医学杂志,2015,7(06):795-797.
[14] 肖峰,张兴元,于爱.家庭医生工作室的实践与思考[J].中国全科医学,2014,17(01):31-33.
[15] 李薇,彭迎春,家庭医生工作室服务质量评价指标体系的构建研究[J].中国全科医学,2015,18(22):2632-2636.
[2] 国务院.关于做实做好2017年家庭医生签约服务工作的通知[Z].国卫基层函[2017]164号,2017.http://www.nhc.gov.cn/jws/s3581r/201705/ecd779e08d7f4ec4b2e13905ace5c39d.shtml.
[3] 四川省卫生健康委员会.关于印发四川省推进家庭医生签约服务的实施意见的通知[Z].川卫发[2017]28号,2017.http://www.scwst.gov.cn/wj/zcwjjjd/zcwj/201705/t20170519_13563.html.
[4] 蔡宁伟,于慧萍,张丽华.参与式观察与非参与式在案例中的应用[J].管理学刊,2015,28(04):66-69.
[5] Eric Vermeulen.Dealing with doubt:Making decisions in a neonatal ward in The Netherlands [J].Social Science & Medicine,2004,59(10):2071–2085.
[6] 李鲁,等.社会医学[M].北京:人民卫生出版社,2011.71-76.
[7] 张孔来,刘民.定性研究方法在流行病学研究中的应用[J].中国流行病学杂志,2000,21(1):72-73.
[8] 肖峰,吴小岭,赵德余.家庭医生制:基本医疗服务卫生服务模式新探索[J].中国市场,2012,19(29):84-90.
[9] 陆萍,朱杰,金敏洁,等.家庭医生工作室标准化建设及服务效果研究[J].中国全科医学,2016,19(31):3776-3780.
[10] 高胤昊,朱建荣,王延秋,等.家庭医生工作室服务模式的实践和优化[J].中国卫生产业,2016,13(24):191-192.
[11] 钟宇,刘露霞,聂小旭,等.基于“签、约、服”三环节的医防融合式家庭医生工作室构建研究[J].中国全科医学,2018,21(31):3818-3822.
[12] 叶明浩,张巧,周路路,等.家庭医生工作室在提高全科医生儿科诊疗能力中的作用[J].中国社区医师,2018,34(28):180-181.
[13] 赵伟,李薇.依托家庭医生工作室对社区高血压患者心血管危险因素综合管理的效果[J].中国循证心血管医学杂志,2015,7(06):795-797.
[14] 肖峰,张兴元,于爱.家庭医生工作室的实践与思考[J].中国全科医学,2014,17(01):31-33.
[15] 李薇,彭迎春,家庭医生工作室服务质量评价指标体系的构建研究[J].中国全科医学,2015,18(22):2632-2636.