| 引用本文：袁莎莎, 王国文, 江琴, 黄辉, 贾梦, 王芳, 张小娟.医疗集团下基层医疗机构病人感知质量研究——以江苏省镇江市为例[J].中国卫生政策研究,2018,11(10):29-33 |
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| 医疗集团下基层医疗机构病人感知质量研究——以江苏省镇江市为例 |
| 投稿时间：2018-02-02 修订日期：2018-07-13 PDF全文浏览 HTML全文浏览 |
| 袁莎莎1, 王国文2, 江琴2, 黄辉3, 贾梦1, 王芳1, 张小娟1 |
1. 中国医学科学院医学信息研究所 卫生体系与政策研究中心 北京 100020;
2. 江苏省镇江市润州区卫生计生委 江苏镇江 212001;
3. 江苏省镇江市京口区卫生计生委 江苏镇江 212000 |
| 摘要:目的：基于需方角度对江苏省镇江市康复医疗集团和江滨医疗集团下基层医疗机构质量进行对比分析。方法：在每一集团覆盖区随机抽取1个区，在该区再随机抽取1个基层医疗机构，利用初级卫生保健质量评价工具中文版进行需方调查。采用描述性统计和多元线性回归分析方法进行数据分析。结果：康复医疗集团下基层医疗机构PCAT得分（25.21）显著高于江滨医疗集团下基层医疗机构（β=2.191，95% CI：1.586，2.797）。除了"与基层机构联系程度"、"协调（信息系统）"两个维度外，其余核心维度康复医疗集团PCAT得分均显著高于江滨医疗集团PCAT得分。结论：基于PCAT，康复医疗集团下基层医疗机构病人感知质量要好于江滨医疗集团；管理和技术层面的紧密协作以及相关利益分配机制的形成是造成二者差异的可能原因。 |
| 关键词:医疗集团 基层医疗机构 病人感知质量 初级卫生保健质量评价工具 |
| 基金项目:国家社会科学基金青年项目（16CGL067） |
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| Research on patient perception on quality of care in primary medical institutions in medical groups: A case study of Zhenjiang city, Jiangsu province |
| YUAN Sha-sha1, WANG Guo-wen2, JIANG Qin2, HUANG Hui3, JIA Meng1, WANG Fang1, ZHANG Xiao-juan1 |
1. Center of Health System and Policy Research, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
2. Zhenjiang Runzhou District Commission of Health and Family Planning, Zhenjiang Jiangsu 212001, China;
3. Zhenjiang Jingkou District Commission of Health and Family Planning, Zhenjiang Jiangsu 212000, China |
| Abstract:Objective:To compare and analyze the patient perceived quality of care in primary health institutions within medical groups from the experience of Zhenjiang city in Jiangsu Province. Methods:Random selection was used picking the districts and community health centers. In this paper, one district was randomly selected from each medical group, and then one community health center (CHC) was randomly selected in the sample district. The Primary Care Assessment Tool survey (PCAT) was conducted in the sample primary health institutions. Thereafter, data analysis was conducted using the ddescriptive statistics and multi-linear regression methods. Results:Research results showed that the PCAT total score of CHC in Rehabilitation Medical Group (25.21) was significantly higher than that in Jiangbin Medical Group (23.06) with the variation coefficient of β=2.191. Except for the "extent of affiliation with a place" and "coordination (information systems)", PCAT scores in all the other core domains were significantly higher in Rehabilitation Medical Group than those in Jiangbin Medical Group. Conclusion:Given the PCAT results, patients perception on quality of care in primary health institutions figuring in Rehabilitation Medical Group was better than those in Jiangbin Medical Group. The close relationship in management and technical skills, and the formation of interest allocation mechanism probably probably contributed into the way towards the results. |
| Key words:Medical group Primary health institution Perception on quality of care Primary Care Assessment Tool (PCAT) |
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