医联体内社区中医满意情况研究  

Investigation of satisfaction of community traditional Chinese medicine staff in the medical association

作　　者：孟亚苹 宋爽 王杉 吴欣[1] MENG Yaping, SONG Shuang, WANG Shan, WU Xin(Beijing University of Chinese Medecine, Beijing 100029, Chin)

机构地区：[1]北京中医药大学管理学院,北京100029

出　　处：《中国医药导报》2018年第15期54-58,共5页China Medical Herald

基　　金：教育部人文社会科学研究青年基金项目(13YJCZH199)

摘　　要：目的了解医联体内社区中医医务人员的满意情况。方法于2016年4~6月在北京市朝阳区开展医联体的社区卫生机构中,对社区中医进行问卷调查,包括社区中医的基本信息、对社区卫生机构的中医药服务措施评价以及对影响社区中医总体满意度的外部因素评价。结果社区中医总体满意度较高,医联体类型对社区中医的总体满意度差异有统计学意义(P=0.016),其中松散型医联体下的社区中医满意度最低;社区中医对本机构中医特色服务能力、中医适宜技术和中药服务能力的满意度较高,而对薪酬和医联体绩效考核满意度较低。居民的中医服务能力认可度是影响社区中医总体满意度的重要因素(P=0.003)。结论加强松散型医联体内核心医院与社区卫生机构的上下联动;社区对中医药服务能力较为重视,加强社区中医人才队伍建设,并为社区中医药的发展提供良好平台,增强居民认同感,此外应制定合理的社区中医薪酬,完善医联体内绩效考核制度,提升社区中医满意度。Objective To investigate the satisfaction of the traditional Chinese medicine（TCM） staff of the community in the medical association. Methods From April to June 2016, TCM staffs in the community which joined the medical association in Beijing Chaoyang District were invited to make a questionnaire survey, which included basic information of community TCM, evaluation of TCM service measures for community health institutions and external factors that affect the overall satisfaction of community TCM. Results The overall satisfaction of TCM staffs was high. Their satisfaction had a significant statistical difference in different medical association type（P = 0.016）. There was a low level of satisfaction among the loose medical association. TCM staffs were satisfied with TCM features service capability, TCM appropriate technology and Chinese medicine service capacity which community provided. However, they were unsatisfied with the salary and medical association performance appraisal. The recognition of the residents′ TCM service ability has an important influence on the overall satisfaction of the community TCM（P = 0.003）. Conclusion The government should improve the relevant policies that allow the hospital to make Chinese herbal preparations to flow within the medical association. The community attaches great importance to TCM service ability. On one hand, the community strengthen the construction of the community TCM talent team, on the other hand, the community should provide a good platform for the development of the community TCM. As a result, residents′ sense of identity will be enhanced. Besides,the community should make reasonable pay for TCM staffs and improve the performance appraisal system in medical association in order to improve the satisfaction of community TCM staffs.

关 键 词：医联体 社区中医 满意度 

分 类 号：R197[医药卫生—卫生事业管理]