医务人员视角下县乡村医务人员整合协作现状——以江苏省三县为例  

Collaboration among health workers in multi-level health institutions from the perspective of health workers:A case study of three counties in Jiangsu province

作　　者：殷璇[1] 石金楼 钱东福 谷小丽[1] 王烨 曹江翎 YIN Xuan;SHI Jin-lou;QIAN Dong-fu;GU Xiao-li;WANG Ye;CAO Jiang-ling(School of Health Policy and Management,Nanjing Medical University,Nanjing Jiangsu 211166,China)

机构地区：[1]南京医科大学医政学院,江苏南京211166

出　　处：《中国卫生政策研究》2018年第3期42-45,共4页Chinese Journal of Health Policy

基　　金：国家自然科学基金项目(71473130)

摘　　要：目的:以江苏开展慢性病综合防控示范区建设的县城为例,借鉴DMIC整合医疗服务发展模型的9大维度对县、乡、村医务人员慢性病整合服务协作的工作现状进行分析,以期为医务人员跨机构慢性病协作提供改善方向。方法:采用典型抽样和多阶段随机抽样相结合,对278名医务人员进行问卷调查,并对结果进行统计学分析。结果:村医在整合协作工作中参与度最强,但人力年龄结构老化、文化程度低;县、乡、村医务人员均对开展跨机构协作工作表示高度认可,但实际协作水平低;县、乡、村连通的卫生信息平台尚未建立。Objectives:This study aims to analyze the current status of the collaboration of medical staff among county,township,and village with comprehensive prevention and control of chronic diseases based on nine dimensions of DMIC integrated medical service development model,with a view to providing medical services collaboration on chronic diseases across the organization to provide direction for improvement.Methods:278 health workers sampled by the combination of typical sampling and multi-stage random sampling method received a questionnaire and the results were analyzed statistically.Results:According to the findings of this study,village doctors show higher participation in chronic care collaboration,but they are faced with the aging population and most of them are poorly educated;the multi-institutional collaboration is of low efficiency in practice although it is well accepted by all health workers;there is no existing shared health information system among county,township and village.Conclusion:These results suggest that the government should strengthen its leadership and promote primary health care management through medical staff collaboration;initiatives of health workers should be stimulated to promote the continuity of medical services;the shared health information system should be set up to facilitate the health workers collaboration.

关 键 词：服务整合 农村 整合医疗服务发展模型 

分 类 号：R197[医药卫生—卫生事业管理]