| 引用本文：路冰清, 曾文麒, 陶文娟, 罗义威, 文进.基于医生视角的四川省基层医疗服务能力现状及影响因素分析[J].中国卫生政策研究,2019,12(8):31-36 |
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| 基于医生视角的四川省基层医疗服务能力现状及影响因素分析 |
| 投稿时间：2018-09-08 修订日期：2019-07-19 PDF全文浏览 HTML全文浏览 |
| 路冰清1, 曾文麒2, 陶文娟2, 罗义威2, 文进2 |
1. 四川大学华西医院中国循证医学中心 四川成都 610041;
2. 四川大学华西医院医院管理研究所 四川成都 610041 |
| 摘要:本研究基于欧洲基层卫生质量和成本中心（Quality and Costs of Primary Care in Europe，QUALICOPC）基层医疗调查问卷（医生问卷），采用多阶段抽样方法在四川省基层医疗机构开展实证研究。研究发现，四川省基层医疗机构在“可及性”、“连贯性”、“协调性”、“综合性”、“质量”、“效率”和“公平性”7个维度中，能力得分最高的为“公平性”，最低的为“协调性”。不同地区之间的“可及性”和“效率”有统计学差异。医生性别、医疗机构的地理位置及当地经济是基层医疗机构服务能力的影响因素。因此，四川省需要进一步加大对基层医疗机构的支持力度，促进上下级医疗机构的联动。 |
| 关键词:基层医疗 QUALICOPC 医疗服务 服务能力 医生视角 |
| 基金项目:国家自然科学基金面上项目（71874115）；四川省科技厅项目（2018KZ0046） |
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| Analysis of the current status of primary medical service capacity and its influencing factors in Sichuan province based on doctors' perspective |
| LU Bing-qing1, ZENG Wen-qi2, TAO Wen-juan2, LUO Yi-wei2, WEN Jin2 |
1. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu Sichuan 610041, China;
2. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu Sichuan 610041, China |
| Abstract:This study was conducted based on the primary health care questionnaire, with doctors as subjects, developed by the European center for Quality and Cost of Primary health Care (QUALICOPC), which uses a multi-stage sampling method to carry out empirical research in primary/grassroots healthcare institutions in Sichuan province. The study found that Sichuan province's primary healthcare institutions have the highest ability scores in the seven dimensions of "accessibility", "coherence", "coordination", "comprehensiveness", "quality", "efficiency", and "equity". It was found that the institutions performed best in terms of "equity" than in "coordination", i.e. 0.63 (SD=0.20) against 0.01 (SD=0.14), respectively. There were statistical differences in "accessibility" and "efficiency" between different regions. The gender of doctors, the geographical location of medical institutions and the local economy were the influencing factors of the primary health care serviceability. Therefore, it is suggested that Sichuan Province should further increase the support of lower-level primary healthcare institutions and put much attention to poverty-stricken areas while improving the correlation coefficient in medical serviceability between urban and rural areas as well as between regions with different economic situations. |
| Key words:Primary healthcare QUALICOPC Medial services Service capability Doctors' perspective |
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