石家庄市社区居民的就医习惯及其对全科医师的认知情况调查  

Survey on Medical Habits of Community Residents in Shijiazhuang and Their Cognition of General Practitioners

作　　者：支晓[1] 王倩[1] 张兰英[1] 鲁明[1] 刘瑞瑞 李峰[1] 王荣英[2] 

机构地区：[1]河北医科大学第二医院医务处,河北省石家庄市050000 [2]河北医科大学第二医院全科医疗科,河北省石家庄市050000

出　　处：《中国全科医学》2017年第31期3933-3936,共4页Chinese General Practice

基　　金：2016年度河北省医学科学研究重点课题(20160576)

摘　　要：目的了解河北省石家庄市社区居民的就医习惯及其对全科医师的认知情况,进一步探索和改进全科医师的培养模式、服务方向及工作方法。方法采用目的抽样法,以河北省石家庄市内6个区中与河北医科大学第二医院签约的10个社区卫生服务中心所在社区为调查地区;采用方便抽样法,根据调查员家庭所在地,选取年龄为18~64岁、具有良好交流能力的613例社区居民为调查对象。于2014年7—8月,采用自行设计的调查问卷进行面对面现场调查。问卷的主要内容为:居民的基本情况、居民的就医习惯及原因、居民对全科医师的认知情况。共发放问卷636份,回收有效问卷613份,问卷的有效回收率为96.4%。结果 613例居民中,首诊地点为社区卫生服务中心者215例(35.1%)、省/市级医院者398例(64.9%)。100.0%(613/613)的居民认为全科医师应具备良好的医疗技术,全面的医疗知识,具有责任心、爱心、同情心,良好的表达能力和沟通能力,熟悉预防保健工作,较强的科研能力;72.8%(446/613)的居民认为全科医师的职责为提供门诊医疗;73.1%(448/613)的居民认为全科医生应提供的医疗方式为门诊医疗服务;86.0%(527/613)的居民认为衡量全科医师是否优秀的指标为医疗技术。结论多数居民仍选择省/市级医院作为首诊地点。多数居民认为全科医师的职责为提供门诊医疗,并认为医疗技术为衡量全科医师是否优秀的首要指标。Objective To investigate the medical habits of community residents in Shijiazhuang and their cognition of general practitioners,and to further explore and improve the training mode,service direction and working methods of general practitioners. Methods Using purposive sampling method,10 communities in which community health service centes signed contracts with the Second Hospital of Hebei Medical University in Shijiazhuang were selected. According to family locations of investigators,613 residents ranging in age from 18 to 64 with a good capacity for communicating were selected using convenient sampling method. A self-designed questionnaire was used to conduct face-to-face field surveys in July and August of the year2014. The main contents of the questionnaire were the basic information of residents, residents＇ medical habits and reasons,residents＇ cognition of general practitioners. A total of 636 questionnaires were distributed and 613 valid questionnaires were collected. The effective recovery rate was 96. 4%. Results Of the 613 residents,215（ 35. 1%） residents took community health service centers as their first choice when they needed doctors while 398（ 64. 9%） residents chose provincial or municipal hospitals. All（ 613/613） residents believed that general practitioners should have good medical skills and comprehensive medical knowledge with a sense of responsibility and compassion,and good expression and communication skills with love. Being familiar with preventive health care with strong scientific research ability was also expected. And 72. 8%（ 446/613） of the residents considered that the duty of general practitioners was to provide outpatient medical service; 73. 1%（ 448/613） of the residents thought that the medical treatment method of general practitioners was to provide outpatient medical service. In addition,86. 0%（ 527/613） of the residents considered that medical skills were standards to measure whether a general practitioner was excellent. Conclusion Most of the resid

关 键 词：社区居民 全科医生 就医行为 认知 

分 类 号：R197[医药卫生—卫生事业管理]