社区医生参与公共卫生服务的现况及分析  

Study on the current status of doctors participating in public health service delivery

作　　者：陈林利[1] 方红[1] 高悦[2] 刘宝[2] 陈丽菁[1] 张甦敏[1] 王巍炜[1] 

机构地区：[1]上海市闵行区疾病预防控制中心信息管理科,上海201101 [2]复旦大学公共卫生学院卫生经济教研室,上海200032

出　　处：《中国卫生资源》2016年第5期418-421,共4页Chinese Health Resources

基　　金：上海市卫生和计划生育委员会委级项目;上海市医院协会医院管理研究基金项目(2013037)

摘　　要：目的 :研究闵行区社区卫生服务中心临床医生参与公共卫生服务工作的近况及其与公共卫生投入的相关性,为完善辖区内医防结合的居民健康管理模式提供科学依据。方法 :采用文献评阅、机构调查等方法,从公共卫生经费、人力和时间投入三方面定量分析闵行区医防结合的实现模式,并分析医护人员投入公共卫生服务的影响因素。结果 :社区卫生服务中心68.87%的临床医生参与公共卫生服务,48.03%的护士参与公共卫生服务;临床医生投入公共卫生服务的时间从2006年的4.50%增长到2013年的35.00%,护士投入公共卫生服务的时间从4.00%增长到34.53%。结论 :政府公共财政为闵行区社区卫生服务中心医防结合提供了经费支持和政策保障。闵行区依托信息化和绩效考核实现了医防结合的居民健康管理模式。Objective： To investigate the current status of clinicians participating in the public health service delivery and analyze its correlation with the investment of public health services in the community health service centers of Minhang District so as to improve the health management model. Methods： Methods such as literature review and institution investigation were employed to discuss the model of combination of clinical medicine and prevention, and the influencing factors of medical staff participating in the public health services. Results ： The percentage of doctors participating in the public health service delivery was 68.87% ; the percentage of nurses participation was 48.03%. The percentage of time of doctors participating in the public health service delivery increased from 4.50% in 2006 to 35.00% in 2013; the percentage of time of nurses participation increased from 4.00% to 34.53%. Conclusion： Government public finance provided financial support and policy guarantee for combination of clinical medicine and prevention in the community health service centers. Minhang District has depended on informatization and performance appraisal to realize residents＇ health management of combination of dinical medicine and prevention.

关 键 词：医防结合 公共卫生服务 社区卫生服务中心 

分 类 号：R192.3[医药卫生—卫生事业管理]