摘要
目的:了解广州市综合医院医生对对口帮扶社区卫生服务机构的意愿,社区医生对支援医院的需求,为政府推行综合医院支援社区提出建议,以及为双向转诊制度的顺利开展做好准备。方法:采用问卷形式,对广州市6家综合医院及15家社区医生进行调查。结果:综合医院医生下社区的积极性不高,不愿下社区的原因为影响个人收入,名声不好,大材小用。而社区绝大部分医生都非常赞成专家下社区,并且对综合医院支援社区的需求种类为专家门诊,业务讲座,健康教育,慢性病管理,双向转诊审核等。结论:政府应建立激励制度,吸引专家下社区;另一方面,应建立长效机制,全方位引进人才,培养人才,留住人才,提高全科医生的整体素质。
To investigate Guang- zhou city general hospital doctors to support community health service Financial institu- tions will, community physicians to support the needs of hospitals,for the government to carry out comprehensive hospital to support community recommendation, and the two - way referral system smoothly to prepare. Methods:The questionnaire was used, in 6 general hospitals in Guangzhou and 15 com- munity doctors investigated. Results: The doctors in general hospital under the com- munity initiative is not high,not community cause :eftects of individual income, bad rep- utation,put fine timber to petty use. But the community most doctors are very much in favour of experts under the community, and the general hospital to support community needs types: expert outpatient service, busi- ness, education, health, chronic disease management, two - way referral of audit. Cone, ln- sion: The govermnent should establish the incentive system, to attract experts under the community;on the other hand,should estab- lish lasting effect mechanism,all - round in- troduction of talents, training talents, retain talent, improve the integral quality of general practitioners.
关键词
综合医院
社区卫生服务机构
互动
意愿
general hospitals
communityheaJth serviee institutions
interaction
desire