某市基层医疗机构医防融合现状分析  

Analysis on the current situation of medical preventive integration at primary medical institutions in a city

作　　者：孟文奇 柳松艺 姜晓利 彭海波 李子鑫 于倩倩[1] 李战胜 尹文强[1] 孙葵[1] 陈钟鸣[1] Wenqi Meng;Songyi Liu;Xiaoli Jiang;Haibo Peng;Zixin Li;Qianqian Yu;Zhansheng Li;Wenqiang Yin;Kui Sun;Zhongming Chen(School of Management,Weifang Medical University,Weifang 261053,China;Weifang Health Commission,Weifang 261061,China)

机构地区：[1]潍坊医学院管理学院,261053 [2]潍坊市卫生健康委员会,261061

出　　处：《中华医院管理杂志》2021年第9期713-717,共5页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(71804130)。

摘　　要：目的了解某市基层医疗机构医防融合现状, 分析医防融合过程中的问题, 提出优化建议。方法 2020年6—7月, 以某市169所基层医疗卫生机构作为调查对象, 对机构的基本信息和医防融合评价指标进行问卷调查, 其中医防融合评价指标分为事实性调查和感受性调查两部分。此外, 就基层医疗机构医防融合的现状对32位相关人员进行个人访谈。对数据资料进行信度和效度检验, 描述性分析和分类提取分析。结果经信效度检验, 调查数据的可靠性良好;事实性调查提取3个公因子, 分别为组织管理、信息管理与绩效考核分配;感受性调查提取2个公因子, 分别为工作方式和人员培训。某市在组织管理和工作方式方面医防融合程度较低, 其中, 已制定医防融合规范的机构占比为53.8%, 居民健康信息共享很及时的机构占比仅为41.4%。结论某市基层医疗机构的医防融合程度仍需进一步提高, 未来应重点加强顶层设计, 建立医防融合工作规范和协作机制, 提升医务人员的医防融合意识, 提高信息化水平, 搭建疾病预防、医疗救治和健康管理三位一体的新服务模式。Objective To explore the current status of medical preventive integration at primary medical institutions,analyze the problems of medical prevention integration,and put forward optimization suggestions.Methods From June to July 2020,169 primary medical institutions in a city were selected as the survey objects to conduct a questionnaire survey on the basic information of institutions and the evaluation indicators of medical preventive integration.The evaluation index system of medical preventive integration was divided into a factual survey and a sensory survey.In addition,32 relevant personnel were interviewed on the current situation of medical preventive integration at primary medical institutions.The reliability and validity of the data were tested and analyzed,while descriptive analysis and classification extraction analysis were carried out.Results The reliability and validity analysis proved the data reliability.The factual survey extracted three common factors,namely organization management,performance appraisal distribution and information management.The sensory survey extracted two common factors,namely working mode and personnel training.In terms of organization,management and working methods,the degree of medical preventive integration was low.Among them,53.8%of the institutions had formulated the medical preventive integration norms,and only 41.4%of them had shared residents′health information in time.Conclusions The degree of medical preventive integration of primary medical institutions in the city still need to be improved.In the future,we should strengthen the top-level design,establish the norms and cooperation mechanism of medical preventive integration,improve the awareness of medical preventive integration of medical personnel,improve the information level,and to build a new service model integrating disease prevention,medical treatment and health management.

关 键 词：卫生保健调查 医防融合 基层医疗机构 现状分析 

分 类 号：R197.1[医药卫生—卫生事业管理]