家庭医生签约服务制度下和谐医患关系构建研究  

Study on the Construction of Harmonious Doctor-patient Relationship under the Family Doctor Contract Service System

作　　者：成怡敏[1] CHENG Yimin(The Hospital of Xi'an Shiyou University,Xi'an 710065,China)

机构地区：[1]西安石油大学医院,陕西西安710065

出　　处：《中国医学伦理学》2023年第9期1035-1040,1045,共7页Chinese Medical Ethics

摘　　要：目的通过对社区家庭医生签约居民的调查研究,了解目前家庭医生签约服务制度下医患关系的现状和问题,为构建和谐医患关系,推进家庭医生签约服务制度健康运行提供参考。方法于2023年1—2月对西安市某高校社区2022年完成家庭医生签约服务共1655名居民进行问卷调查,通过签约居民的一般情况、签约家庭医生的意愿、对签约家庭医生服务满意度和意见等了解医患关系现状,并提出相应的改善策略。结果居民愿意签约856人(52.68%),不愿意签约322人(19.82%),397人表示无所谓(24.43%),50人弃权未填签约意愿(3.07%)。不同性别居民在对服务的满意度方面无统计学差异(P=0.292);40~60岁在职人员满意度(72.33%)高于60岁以上的离退休人员满意度(61.05%,P<0.001);本科及以上学历人员满意度(58.23%)高于本科以下学历人员满意度(51.77%,P=0.008);独居人员满意度(70.21%)明显高于非独居人员满意度(54.35%,P<0.001)。签约居民对签约服务的总体满意度为(4.48±0.14)分,其中对于服务方式满意度为4.31分,服务态度满意度4.47分,服务内容满意度4.52分,服务效果满意度4.60分。结论大部分社区居民对于家庭医生签约服务态度积极,提高服务满意度和加强医患沟通是改善基层医患关系、推动家庭医生签约服务制度良好运行的可行途径。Objective:To understand the current status and problems of the doctor-patient relationship under the family doctor contract service system through the investigation on residents contracted by community family doctors,and to provide reference for constructing harmonious doctor-patient relationship and promoting the healthy operation of the family doctor contract service system.Methods:A questionnaire survey was conducted on 1655 residents of a certain university community in Xi an from January to February 2023 who completed family doctor contract services in 2022.Through the general situation of signed residents,the willingness of signed family doctors,and the satisfaction and opinions with signed family doctors' services,this paper investigated the current status of the doctor-patient relationship and proposed corresponding improvement strategies.Results:A total of 856 residents(52.68%)were willing to sign the contract,322 residents(19.82%)were unwilling to sign the contract,397 residents(24.43%)expressed indifference,and 50 residents(3.07%)abstained from signing the contract.There was no statistical difference in service satisfaction between residents of different genders(P=0.292).The satisfaction of working staff aged 40-60(72.33%)was higher than that of retirees aged over 60(61.05%,P<0.001).The satisfaction of those with bachelor's degree or above(58.23%)was higher than that of those with bachelor's degree below(51.77%,P=0.008).The satisfaction of individuals living alone(70.21%)was significantly higher than that of non-solitary individuals(54.35%,P<0.001).The overall satisfaction score of contracted residents with contracted services was(4.48±0.14)points,including 4.31 points for satisfaction with service methods,4.47 points for satisfaction with service attitudes,4.52 points for satisfaction with service content,and 4.60 points for satisfaction with service effectiveness.Conclusion:Most community residents have a positive attitude towards family doctor contract services.Improving service satisfaction and st

关 键 词：家庭医生签约服务 医患关系 满意度 

分 类 号：R-052[医药卫生]