[1]王进贤.漳州市基层医疗机构医疗服务能力现状及影响因素分析[J].福建医药杂志,2024,46(07):91-95.[doi:10.20148/j.fmj.2024.07.029]
 WANG Jinxian.Current status and influencing factors related to medical service capabilities of primary medical institutions in Zhangzhou[J].FUJIAN MEDICAL JOURNAL,2024,46(07):91-95.[doi:10.20148/j.fmj.2024.07.029]
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漳州市基层医疗机构医疗服务能力现状及影响因素分析()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
46
期数:
2024年07期
页码:
91-95
栏目:
卫生管理
出版日期:
2024-11-20

文章信息/Info

Title:
Current status and influencing factors related to medical service capabilities of primary medical institutions in Zhangzhou
文章编号:
1002-2600(2024)07-0091-05
作者:
王进贤
福建医科大学附属漳州市医院, 漳州 363000
Author(s):
WANG Jinxian
Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian 363000, China
关键词:
基层医疗 医疗服务能力 影响因素 分级诊疗
Keywords:
primary care medical service capacity influencing factors hierarchical diagnosis and treatment
分类号:
R197
DOI:
10.20148/j.fmj.2024.07.029
文献标志码:
B
摘要:
目的 调查漳州市基层医疗机构医疗服务能力现状,并分析其相关影响因素,为进一步提升基层医疗机构医疗服务能力、推进分级诊疗提供参考。方法 对漳州市15个区(市)县所有基层医疗机构2022年度医疗服务能力进行调查分析。采用单因素回归分析与多重线性回归分析模型研究影响基层医疗机构服务能力的相关因素。结果 漳州市社区卫生服务中心拥有较多的门诊量、开放床位数、卫生技术人员人数,而乡镇卫生院则有较多的住院量、乡村医师数。多因素分析显示,开放床位数、本科及以上学历人数、药师(士)人数、开展检查检验项目数越多,诊疗量越高(P<0.05)。结论 漳州市不同的基层医疗机构服务能力存在差异,需进一步促进优质医疗资源下沉到基层,提高基层医疗服务能力。
Abstract:
Objective To investigate the current status and influencing factors related to medical service capabilities of primary medical institutions in Zhangzhou city and provide reference for further improvement of medical service capabilities of primary medical institutions, thus promoting hierarchical diagnosis and treatment.Methods The medical service capacity of all primary medical institutions in 15 counties of Zhangzhou city in 2022 was investigated and analyzed.The related factors affecting the service ability of primary medical institutions were studied through single factor and multi-factor linear regression analysis.Results The community healthcare center of Zhangzhou city had a higher number of outpatients, open beds, and health technicians, while township hospitals had more inpatients and rural doctors.Multivariate analysis revealed that there was a significant correlation between the number of open beds, staff with bachelor's degree or above, pharmacists, number of laboratory test items, and the amount of consultation and treatment(P<0.05).Conclusion There are disparities in the service capacity among primary medical institutions in Zhangzhou city.Therefore, it is essential to further promote the allocation of high-quality medical resources at the primary level to enhance their service capacity.

参考文献/References:

[1] 仇蕾洁,张雪文,马桂峰,等.基于供给侧视角的基层医疗机构卫生人力资源短缺问题研究[J].中国卫生事业管理, 2018, 35(11): 804-808,838.
[2] 国家卫生健康委员会.2022中国卫生健康统计年鉴[M].北京:中国协和医科大学出版社, 2023.
[3] 福建省统计局.福建统计年鉴-2022[EB/OL].(2022-01-22)[2024-09-04]. https://tjj.fujian.gov.cn/tongjinianjian/dz2022/index.htm.
[4] 漳州市统计局.漳州统计年鉴2022[EB/OL].(2022-08-01)[2024-09-04]. http://tjj.zhangzhou.gov.cn/tjnj/2022/2022.htm.
[5] 国家卫生健康委员会.社区卫生服务中心服务能力标准(2022版)[S/OL].(2022-7-20)[2024-09-04]. http://www.nhc.gov.cn/jws/s7874/202207/03f2e43540384209b67cce25a6cd9ae2/files/3e80967955884b61bb505804af8ea68f.pdf.
[6] 国家卫生健康委员会.乡镇卫生院服务能力标准(2022版)[S/OL].(2023-10-23)[2024-09-04]. http://www.nhc.gov.cn/jws/s7874/202207/03f2e43540384209b67cce25a6cd9ae2/files/c04b4705116d4abeb6d7aa773a7f16dc.pdf.
[7] 福建省卫健委.2022年福建省医疗卫生资源及医疗服务情况[EB/OL].(2022-7-20)[2024-09-04]. https://wjw.fujian.gov.cn/jggk/csxx/ghyxxc/xxtj_41288/202310/t20231023_6280147.htm.
[8] 中华人民共和国国务院.《“健康中国2030”规划纲要》[EB/OL].(2016-10-25)[2024-09-04]. https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.
[9] 国家卫健委.关于印发卫生健康系统贯彻落实以基层为重点的新时代党的卫生与健康工作方针若干要求的通知:国卫基层发〔2022〕20号[EB/OL].(2022-07-05)[2024-09-04]. https://www.gov.cn/zhengce/zhengceku/2022-07/12/content_5700674.htm.
[10] 徐书贤,霍勇.完善县域医疗急救体系改善乡村医疗机构卫生服务[J].中国医院院长,2022,18(7):49.
[11] 杨梓钰,廖晓阳,张从勇,等.成都市基层医疗机构诊疗量现状及影响因素分析[J].华西医学, 2017, 32(8): 1153-1157.
[12] 朱华军,林芳萍,林建潮.县域医共体背景下基层卫生人才队伍建设现状与改善路径分析[J].中国农村卫生事业管理, 2024, 44(6): 446-450.
[13] 张雪,陶群山,王鹏鹏,等.分级诊疗制度下安徽省基层医疗卫生机构服务能力评价 [J].中国医院, 2022, 26(11): 38-41.

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更新日期/Last Update: 2024-11-20