[1]薛梓晨秘玉清陈倩邢家润黄静雯寇儒欣邓神根李伟.山东省社区卫生服务中心老年慢病管理脆弱性评价研究[J].中国卫生质量管理,2023,30(08):75-79.[doi:10.13912/j.cnki.chqm.2023.30.8.16 ]
　XUE Zichen,MI Yuqing,CHEN Qian.Vulnerability Evaluation of Elderly Chronic Disease Management in Community Health Service Centers of Shandong Province[J].Chinese Health Quality Management,2023,30(08):75-79.[doi:10.13912/j.cnki.chqm.2023.30.8.16 ]

点击复制

山东省社区卫生服务中心老年慢病管理脆弱性评价研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第30卷期数: 2023年08期页码: 75-79 栏目: 基层卫生质量出版日期: 2023-08-15

Title:: Vulnerability Evaluation of Elderly Chronic Disease Management in Community Health Service Centers of Shandong Province

作者:: 薛梓晨秘玉清陈倩邢家润黄静雯寇儒欣邓神根李伟; 潍坊医学院

Author(s):: XUE Zichen; MI Yuqing; CHEN Qian; Weifang Medical University

关键词:: 社区卫生服务中心; 慢病管理; 老年人; 脆弱性评价

Keywords:: Community Health Center; Chronic Disease Management; Elderly; Vulnerability Assessment

分类号:: R197.6

DOI:: 10.13912/j.cnki.chqm.2023.30.8.16

文献标志码:: A

摘要:: 目的评价山东省社区卫生服务中心老年慢病管理脆弱性,寻找高脆弱因子，为降低扰动因素导致的慢病管理服务减少或缺失风险提供参考。方法通过文献回顾、专家咨询、小组讨论确定社区卫生服务中心老年慢病管理脆弱性评价指标体系，采用多阶段分层随机抽样方法抽取山东省18家社区卫生服务中心，并于2021年7月使用评价指标体系进行调查，基于物元可拓模型对各社区卫生服务中心脆弱性、不同脆弱因子脆弱性以及整体脆弱性进行评价。结果仅机构Aa的老年慢病管理脆弱性等级为“高”，其余机构均为“中等”。脆弱性等级“高”的指标共有6个，“较高”的指标共有9个，无“低”脆弱性等级指标。18家社区卫生服务中心老年慢病管理脆弱性总体呈现“中等”水平，其中，敏感性维度脆弱性呈现“较高”水平，应对能力维度脆弱性呈现“中等”水平。结论政府应优化人力资源配置，加强财政、技术等资源投入。山东省社区卫生服务中心需优化经营方式，扩大服务性收入比例；加强培训，提高技术水平；优化绩效评价与考核体系。

Abstract:: ObjectiveTo evaluate the vulnerability of elderly chronic disease management in community health service centers in Shandong Province, explore high vulnerability factors, and provide references for reducing the risk of service reduction or loss caused by disturbance factors.MethodsThrough literature review, expert consultation and group discussion, the vulnerability assessment index system of chronic disease management in community health service centers was determined. A multi-stage stratified random sampling method was adopted to select 18 community health service centers in Shandong Province, and the evaluation index system was used for investigation in July 2021. Based on matter-element extension model, the vulnerability of community health service centers, the vulnerability of different vulnerability factors and the overall vulnerability were evaluated.ResultsThe vulnerability rating of agency Aa was "high", while that of other institutions was "medium". There are 6 indicators of "high" vulnerability level, 9 indicators of "medium high" vulnerability level, and no indicators of "low" vulnerability level. The management vulnerability of 18 community health service centers for chronic diseases of the elderly showed a "medium" level in general, with "medium high" vulnerability in the sensitivity dimension and "medium" vulnerability in the coping capacity dimension.Conclusion The government should optimize the allocation of human resources and increase the input of financial, technological and other resources. The community health service centers should optimize the operation mode, expand the proportion of service income,strengthen training, improve technical level and optimize the performance evaluation and appraisal system.

参考文献/References:

［1］秘玉清,罗盛,徐景菊,等.社区卫生服务中心慢性病管理能力风险指标体系构建研究［J］.中国卫生统计,2022,39(5):685-689. ［2］张可,曾铁英,王成爽,等.脆弱性视角下新型冠状病毒肺炎疫情期间护理人员应对策略的思考［J］.医学与社会,2021,34(2):17-21. ［3］赵梦梦.基于省际的气候变化脆弱性综合评价及应对策略研究［D］.天津:天津大学,2018. ［4］董幼鸿.系统脆弱性理论视阈下重大事故的生成机理探讨及运用:以25起特别重大事故为例［J］.甘肃行政学院学报, 2018(1):15-32. ［5］王若楠,余伯韬,何艳婷,等.中国省域突发公共卫生事件应急系统脆弱性评价及驱动因素分析［J］.中国卫生事业管理,2022,39(10):730-735. ［6］徐中阳,尚珊.基于模糊层次分析法的在线健康社区用户体验评价研究［J］.医学信息学杂志,2021,42(6):24-31. ［7］杨丽,付文玉, 张建华,等.基于物元可拓法研究生培养质量的综合评价［J］.中国卫生事业管理, 2020, 37(5):385-387. ［8］冯苑,聂长飞.政府门户网站政务服务能力的组合评价研究［J］.情报科学, 2020,38(8):153-158. ［9］蒋海辉,韩欣慰,马迪,等.山东省医疗机构卫生人员配置公平性分析［J］.中国初级卫生保健, 2021, 35(7):11-13,17. ［10］徐莉苹,李婷,黄涛,等.基于系统动力学的社区高血压管理投入预测［J］.中国全科医学, 2019, 22(14):1663-1671. ［11］黄菲,任京雪,郭巧云,等.分级诊疗制度下北京市某区基层医疗卫生机构发展现状分析［J］.中国初级卫生保健,2022,36(4):23-25. ［12］唐梦琦,尹文强,马牧野,等.新医改背景下山东省社区卫生服务机构收入结构变动分析［J］. 中国卫生资源, 2016, 19(4):330-334. ［13］鹿茸,曾伟,魏咏兰.成都市糖尿病患者社区管理现状［J］.现代临床医学,2013, 39(5):363-365. ［14］陶洲,刘城璐,徐畅,等.老龄化背景下重庆市基层卫生资源配置效率分析［J］.现代预防医学,2022,49(3):451-455. ［15］洪佳楠,张睿莹,范冠华.社区居民电子健康档案使用障碍研究［J］.中国卫生质量管理,2022,29(10):96-99. ［16］杨建玲,朱洪其,魏新萍,等.家庭医生签约服务模式下全科团队年度考核指标体系构建［J］.中国卫生质量管理,2022,29(1):86-90.

相似文献/References:

[1]杨山石何梅汤洁金春林王贤吉.基于DRGs的上海嘉定医疗服务质量与绩效评价研究[J].中国卫生质量管理,2017,24(03):22.[doi:10.13912/j.cnki.chqm.2017.24.3.08]
[2]朱思宇白雪蔡正坤陶军毛靖.基于SERVQUAL模型与IPA分析的武汉市社区卫生服务中心服务质量评价[J].中国卫生质量管理,2023,30(10):62.[doi:10.13912/j.cnki.chqm.2023.30.10.14 ]
　ZHU Siyu,BAI Xue,CAI Zhengkun.Service Quality Evaluation of Wuhan Community Health Service Center Based on SERVQUAL Model and IPA Analysis[J].Chinese Health Quality Management,2023,30(08):62.[doi:10.13912/j.cnki.chqm.2023.30.10.14 ]
[3]宋景晨李远萌潘琦吴锁薇盖媛媛姚德明.基于医联体的“专科—全科团队”模式效果评估[J].中国卫生质量管理,2023,30(12):44.[doi:10.13912/j.cnki.chqm.2023.30.12.10 ]
　SONG Jingchen,LI Yuanmeng,PAN Qi.Evaluation of the Effect of "Specialty-General Practice Team" Mode Based on Medical Association[J].Chinese Health Quality Management,2023,30(08):44.[doi:10.13912/j.cnki.chqm.2023.30.12.10 ]
[4]胡岳秀王清郑雅宁夏冬云陈雁吴春英.江苏省148家社区卫生服务中心护理质量管理现状调查与分析[J].中国卫生质量管理,2024,31(05):41.[doi:10.13912/j.cnki.chqm.2024.31.5.10]
　HU Yuexiu,WANG Qing,ZHENG Yaning.Investigation and Analysis of Status Quo of Nursing Quality Management in 148 Community Health Service Centers in Jiangsu Province[J].Chinese Health Quality Management,2024,31(08):41.[doi:10.13912/j.cnki.chqm.2024.31.5.10]
[5]蒋喆龚婧如张彤彤刘彦儒杨涛高培培.构建慢病分级管理的区域整合型药学服务模式[J].中国卫生质量管理,2024,31(08):75.[doi:10.13912/j.cnki.chqm.2024.31.8.15]
　Construction of a Regional Integrated Pharmaceutical Service Mode of Chronic Disease Hierarchical Management.Construction of a Regional Integrated Pharmaceutical Service Mode of Chronic Disease Hierarchical Management[J].Chinese Health Quality Management,2024,31(08):75.[doi:10.13912/j.cnki.chqm.2024.31.8.15]
[6]许媛媛吴韬陈建俞罗莉沈波.上海市远郊社区卫生服务中心腹膜透析技术开展现状调查与分析[J].中国卫生质量管理,2025,32(02):83.[doi:10.13912/j.cnki.chqm.2025.32.2.19]
　XU Yuanyuan,WU Tao,CHEN Jianyu.Investigation and Analysis of the Status Quo of Peritoneal Dialysis Technology in Shanghai Outer Suburban Community Health Centers[J].Chinese Health Quality Management,2025,32(08):83.[doi:10.13912/j.cnki.chqm.2025.32.2.19]
[7]林婷婷吴彬叶文成崔晓田蔚然.基于名中医工作室的医院-社区结合脑卒中康复模式构建研究[J].中国卫生质量管理,2025,32(07):87.[doi:10.13912/j.cnki.chqm.2025.32.7.19]
　LIN Tingting,WU Bin,YE Wencheng.Research on the Construction of a Hospital-Community Integrated Stroke Rehabilitation Model Based on the Famous Traditional Chinese Medicine Physician Studio[J].Chinese Health Quality Management,2025,32(08):87.[doi:10.13912/j.cnki.chqm.2025.32.7.19]
[8]周芬潘菊美王晓琳何梦雪米蔷曹庆张峻玮杨科佳沈南平.上海市儿童安宁疗护协同转介服务模式构建[J].中国卫生质量管理,2025,32(08):54.[doi:10.13912/j.cnki.chqm.2025.32.8.12]
　ZHOU Fen,PAN Jumei,WANG Xiaolin.Construction of a Collaborative Referral Service Model for Pediatric Palliative Care in Shanghai[J].Chinese Health Quality Management,2025,32(08):54.[doi:10.13912/j.cnki.chqm.2025.32.8.12]
[9]焦岳龙王娟娟马鸣骁金逸耿益民王瑱张煜婷余飞.分级诊疗背景下上海市三级医院家庭医生签约居民预约转诊服务模式实践[J].中国卫生质量管理,2025,32(11):80.[doi:10.13912/j.cnki.chqm.2025.32.11.16]
　JIAO Yuelong,WANG Juanjuan,MA Mingxiao.Practice of Referral Service Models for Family Doctor-Contracted Residents in Tertiary Hospitals of Shanghai under the Background of Hierarchical Medical System[J].Chinese Health Quality Management,2025,32(08):80.[doi:10.13912/j.cnki.chqm.2025.32.11.16]
[10]陈云峰顾珊珊张春燕李甜甜姜政男潘雅萍.分级诊疗背景下社区卫生服务中心预约转诊患者失约影响因素分析[J].中国卫生质量管理,2025,32(11):84.[doi:10.13912/j.cnki.chqm.2025.32.11.17]
　CHEN Yunfeng,GU Shanshan,ZHANG Chunyan.Analysis of Influencing Factors on Non-Attendance among Patients with Referral Appointment at Community Health Service Centers under the Background of Hierarchical Medical System[J].Chinese Health Quality Management,2025,32(08):84.[doi:10.13912/j.cnki.chqm.2025.32.11.17]

更新日期/Last Update: 2023-08-15