| 引用本文：左旭, 甄诚, 叶小琴, 宋海燕, 王同国, 管仲军, 孟开.北京市医联体内医务人员参与医联体工作现状及效果评价研究[J].中国卫生政策研究,2018,11(2):37-43 |
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| 北京市医联体内医务人员参与医联体工作现状及效果评价研究 |
| 投稿时间：2017-06-08 修订日期：2017-11-26 PDF全文浏览 HTML全文浏览 |
| 左旭1, 甄诚1, 叶小琴1, 宋海燕1, 王同国2, 管仲军1, 孟开1 |
1. 首都医科大学卫生管理与教育学院 北京 100069;
2. 北京市卫生和计划生育委员会 北京 100053 |
| 摘要:目的：分析医务人员对医联体政策的认知、参与医联体工作的现状及其对医联体运行效果评价，探讨促进医联体发展的政策建议。方法：以北京市18个医联体的556名医务人员为研究对象开展问卷调查，描述医务人员对医联体政策的认知及参与情况，比较核心医院和合作医院医务人员对医联体运行效果的评价。结果：只有5.40%的医务人员对医联体政策完全不了解，38.73%的医生没有开展过双向转诊；核心医院中超过一半被调查的医务人员没有到合作医院出过诊，71.40%的医务人员认为医联体运行效果好，且核心医院与合作医院医务人员评价的差异具有统计学意义。结论：医务人员对医联体政策了解程度以及对运行效果评价较好，但是双向转诊效果不明显，医联体内医务人员参与医联体工作并不理想。 |
| 关键词:医联体 医务人员 效果评价 |
| 基金项目:北京市社会科学基金重点项目（14JGA021）；北京市社会科学基金一般项目（17SRB005） |
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| The current situation and effectiveness evaluation of medical staff's participation in medical alliances in Beijing |
| ZUO Xu1, ZHEN Cheng1, YE Xiao-qin1, SONG Hai-yan1, WANG Tong-guo2, GUAN Zhong-jun1, MENG Kai1 |
1. School of Health Management and Education, Capital Medical University, Beijing 100069, China;
2. Beijing Municipal Commission of Health and Family Planning, Beijing 100053, China |
| Abstract:Objective:In this study, through the description of understanding, behavior, evaluation about medical alliances, we explore the problems and made recommendations to medical alliances. Methods:A questionnaire survey was conducted on 556 medical staff in 18 medical alliances in Beijing. We used descriptive statistical methods to analyze the situation of cognition and so on. And we compared medical staff evaluation of medical alliances between core hospital and cooperative hospital. Results:Only 5.40% of medical staff are totally unaware of the medical alliances policy. 38.73% of the doctors don't conduct two-way referral. 55.69% of the doctors in the core hospital don't come to the cooperative hospital. 71.40% of the medical staff think that the operation of the medical alliances is good. There are big differences in the distribution of overall evaluation between core hospital medical staff and cooperative hospital medical staff by rank sum test. Conclusion:The understanding of medical alliances and the evaluation of activities are better. However, the two-way referral effect is not obvious and some specific activities are not ideal. |
| Key words:Medical alliance Medical Staff Effectiveness evaluation |
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