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| 投稿时间： 2014-11-23 最后修改时间： 2014-12-10 摘要点击次数: 2211 全文下载次数: 4 |
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| 引用本文：袁莎莎, 王芳, 李陈晨,等.社区卫生服务中心全科团队构成模式分析[J].中国卫生政策研究,2014,7(12):37-42 |
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| 袁莎莎1, 王芳1, 李陈晨1,2, 刘利群3, 周巍3, 傅济3, 刘伟3, 杨婷1,2 |
1. 中国医学科学院医学信息研究所/卫生政策与管理研究中心 北京 100020;
2. 北京协和医学院 北京 100730;
3. 国家卫生和计划生育委员会基层卫生司 北京 100044 |
| 基金项目:国家卫生和计划生育委员会基层卫生司委托项目;中央级公益性科研院所基本科研业务费(13R0112) |
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| | 摘要:目的:分析社区卫生服务中心的全科团队构成模式,为社区卫生服务模式转变提供实践经验.方法:采取目的抽样,选取在社区卫生服务模式探索较早且具有代表性的北京市、上海市、郑州市、成都市共12家社区卫生服务中心进行现场调查.采用定性调查为主、定量调查为辅的方法.结果:所调研社区卫生服务中心的全科团队构成模式可分为四类:(1)全科医生+护士+护士助理+药师;(2)医生(全科医生、中医)+护士+社区志愿者;(3)医生(全科医生/中医)+护士+助理员+社区志愿者;(4)全科医生+护士+辅助团队(公卫医师、妇保医生等)+支持团队(药房、医技等).不同模式下,团队成员的专业类别、职责分工和团队规模有所差异.结论:以全科医生为核心,构建全科团队的做法已基本形成共识;上述四种典型全科团队构成模式各有侧重点,对于提高服务效率和质量、密切医患关系、促进社区参与和防治结合具有积极的影响. | |
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关键词:全科团队|专业构成|职能分工|服务模式
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| Analysis on general practice teams in community health service centers |
| YUAN Sha-sha1, WANG Fang1, LI Chen-chen1,2, LIU Li-qun3, ZHOU Wei3, FU Ji3, LIU Wei3, YANG Ting1,2 |
1. Center for Health Policy and Management, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
2. Peking Union Medical College, Beijing 100730, China;
3. The Department of Primary Health, National Health and Family Planning Commission, Beijing 100044, China |
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| | Abstract:Objective: To analyze the structure modes of general practice teams in community health care centers in order to provide empirical evidence for the transformation of the community health service mode. Method: Purposive sampling was adopted. Twelve community health service centers in Beijing, Shanghai, Zhengzhou and Chengdu, where the transformation of the community health service mode was piloted earlier and representative, were selected as the field survey sites. The qualitative method was used to collect the data accompanied by the quantitative method. Results: The structure models of general practice teams could be divided into four types: 1) general practitioner+nurse+nurse assistant+pharmacist, 2) physician (general practitioner, herbalist physician)+nurse+community volunteers, 3) physician (general practitioner/herbalist physician)+nurse+assistant+community volunteers, and 4) general practitioner+nurse+assisting team (professionals of public health and maternal care, etc)+supportive team (pharmacists, health technician, etc). Conclusion: The paper verified the common sense conclusion that general practitioners should play an essential role in general practice teamwork. The four general practice team models analyzed above positively contributed to the improvement of efficiency and quality, the relationship between health professionals and patients, the promotion of community participation, and the combination between preventive care and clinical care. | |
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