北京市家庭医生团队成员视角下的出诊服务认知情况调查  

Investigation on the cognition of home-visiting service from the perspective of family doctor team members in Beijing

作　　者：田东东 马辉[1] Tian Dongdong;Ma Hui(School of Medical Humanities,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学医学人文学院,北京100069

出　　处：《医学教育管理》2022年第3期346-353,共8页Medical Education Management

摘　　要：目的结合北京市家庭医生团队成员对出诊条件、人员、程序等方面的认知情况及意见,完善家庭医生团队出诊服务制度。方法对北京市3个城区部分社区医院家庭医生团队成员进行问卷调查。结果全科医生和护士、家庭医生助理的认知情况一致:在出诊条件上,分别有39.45%、54.13%的成员不认同限制患者年龄、病种,60.55%认为重度以上失能患者才可享受出诊服务;在出诊人员上,65.14%的成员认同一医一护出诊;在出诊程序上,43.12%的成员认同“患者申请、家庭医生审核评估、社区医院批准后出诊”流程。结论建议政府相关部门明确出诊条件、重点照顾70岁以上罹患慢性病且重度以上失能患者;根据诊疗目录明确出诊医务人员配置;规范、简化出诊决定程序。Objective To improve family doctor team home-visiting service system based on Beijing family doctor team members’ opinions of the home-visiting conditions, personnel, procedures and other aspects. Methods A questionnaire survey was conducted among family doctor team members in some community hospitals in three urban areas of Beijing.Results General practitioners, nurses and family doctor assistants had the same cognition. In terms of home-visiting preconditions, 39. 45% and 54. 13% disagreed with the restriction of patients, age and disease type;and 60. 55% believed that only patients with severe disability or above could enjoy the home-visiting service. In terms of home-visiting staff,65. 14% of the members agreed that one doctor and one nurse should team up for home visits. In terms of visiting procedures, 43. 12% members agreed with the process of “patient application, family doctor review and evaluation,community hospital approval of visiting”. Conclusion It is suggested that relevant government departments should clarify the preconditions for home-visiting patients and focus on taking care of patients over 70 years old who suffer from chronic diseases and severe disabilities. The allocation of home-visiting medical staff shall be determined according to the diagnosis and treatment catalogue and procedure for home-visiting should be standardized and simplified.

关 键 词：家庭医生团队 出诊服务 出诊条件 出诊人员 出诊程序 出诊认知 

分 类 号：R197.1[医药卫生—卫生事业管理]