[1]刘冬莹郭宜鹏曹立春范海鸣龚超张华.天津市家庭医生团队服务能力现况调查与分析[J].中国卫生质量管理,2021,28(10):83-88.[doi:10.13912/j.cnki.chqm.2021.28.10.22 ]
　LIU Dongying,GUO Yipeng,CAO Lichun.Survey on the Service Capacity of Family Physician Team in Tianjin[J].Chinese Health Quality Management,2021,28(10):83-88.[doi:10.13912/j.cnki.chqm.2021.28.10.22 ]

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天津市家庭医生团队服务能力现况调查与分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年10期页码: 83-88 栏目: 基层卫生质量出版日期: 2021-10-28

Title:: Survey on the Service Capacity of Family Physician Team in Tianjin

作者:: 刘冬莹郭宜鹏曹立春范海鸣龚超张华; 天津医学高等专科学校

Author(s):: LIU Dongying; GUO Yipeng; CAO Lichun; Tianjin Medical College

关键词:: 家庭医生; 签约服务; 服务能力; 现况调查

Keywords:: Family Physician; Contract Service; Service Competency; Cross-Sectional Survey

分类号:: R197.6；R197.1

DOI:: 10.13912/j.cnki.chqm.2021.28.10.22

文献标志码:: A

摘要:: 目的调查天津市家庭医生团队服务能力现况，为完善相关政策提供依据。方法采用质性研究与问卷调查相结合的方法展开调查，建立家庭医生团队服务能力评估模型，依据模型与调查数据对天津市家庭医生团队服务能力现况进行评估。结果重点人群满意度较高，相关制度体系与团队协作服务模式运行顺畅，服务团队已与居民建立良好关系。按照5级评分，重点人群满意度、团队协作两个指标5分，与居民关系、制度完善程度、职责明确程度3个指标4分，服务内容满足度、终身学习与支持系统、绩效合理性3个指标3分，居民需求满足度、人力资源数量满足度、团队服务能力自评3个指标2分，与上级医院关系紧密度1分。结论天津市家庭医生签约服务已取得一定成效，但服务能力水平与居民需求尚存在一定差距。建议从创新服务模式，提升家庭医生团队岗位胜任力和自我效能感等方面，多角度探索家庭医生服务能力提升策略。

Abstract:: ObjectiveTo investigate the service capacity of family physician team in Tianjin, and to provide evidence for improving relevant policies. MethodsThe qualitative research and questionnaire survey were combined to carry out the investigation, and the evaluation model of family physician team service ability was established. Based on the model and survey data, the current situation of family physician team service ability in Tianjin was evaluated.ResultsKey groups had a high satisfaction level, the relevant system and team cooperation service mode operated smoothly, and the service team had established a good relationship with residents. According to the five-level-score, two indicators of key people's satisfaction and teamwork were 5 points; three indicators of relationship with residents, degree of system perfection, degree of responsibility clear were 4 points; three indicators of service satisfaction level, lifelong learning support system, and performance rationality were 3 points; three indicators of residents demand satisfaction degree, quantity satisfaction of human resources, and self-assessment of team service ability were 2 points; and closeness with superior hospital was 1 point.Conclusion The family physician contract service in Tianjin had made some achievements, but there was still a gap between the service ability and the needs of residents. It was suggested to explore the strategies to improve the service ability of family physician from multiple perspectives from the aspects of innovating service mode, improving position competence and self-efficacy of family physician team.

参考文献/References:

［1］王小刚，杨梓钰，代晓怡，等.以人为中心的主动健康管理服务模式下签约服务核心团队配置研究［J］.中国全科医学，2019，22（13）：1542-1547. ［2］天津市卫生健康委员会.天津市卫生健康统计资料（2015-2020）［Z］.2015. ［3］孙彩霞,刘庭芳,蒋锋，等.我国家庭医生相关政策发展历程与推行研究［J］.中国全科医学，2021，24（7）：765-774. ［4］张柳媚，黄梅香，张娟天，等.广州市海珠区家庭医生签约服务现状调查［J］.中国农村卫生事业管理，2021，41（2）：83-87. ［5］孙雅文.天津市某社区卫生服务中心家庭医生签约情况分析［J］.中国城乡企业卫生，2020，35（10）：90-91. ［6］张晶育.“互联网+”背景下家庭医生签约服务模式探究［J］.智能计算机与应用，2020，10（7）：239-241. ［7］湖北省宜昌市卫生计生委.运用“互联网+”推进家庭医生签约服务［J］.中国农村卫生，2018（21）：10-11. ［8］王亚军.新型冠状病毒肺炎疫情下社区网格化健康平台的构建与应用［J］.中国医学伦理学，2020，33（10）：1265-1269. ［9］张霄艳，杨诗雨，王雨璇.供需视角下“有偿服务”的可行性研究：以X社区家庭医生签约服务为例［J］.中国农村卫生事业管理，2021，41（2）：78-82. ［10］曾雯君，周华，张宇宇.药师参与社区家庭医生签约服务工作模式的实践探索［J］.中医药管理杂志，2020，28（13）：205-207. ［11］禚文健.社会工作参与社区健康促进服务的实践研究［D］.上海：上海师范大学，2020. ［12］屈勇，宛欣，陈超朝，等.“3+2+1”医联体模式的探索与实践：以西电集团医院互联网医联体为例［J］.中国卫生质量管理，2020，27（3）：121-124. ［13］柏文婷.全科医生团队签约服务模式的研究进展［J］.中国社区医师，2021，37（3）：10-11. ［14］陆萍，陆志敏，钱志芳.基于德尔菲法的家庭医生岗位胜任力指标体系构建研究［J］.中国全科医学，2020，23（28）：3553-3560. ［15］邵芊.家庭医生团队胜任力模型构建研究［D］.合肥：安徽医科大学，2019. ［16］杨丽，连至炜，陈新月，等.我国基层医务人员工作满意度调查及影响因素分析［J］.中国卫生质量管理，2020，27（2）：68-71. ［17］王艺园，孙艳春，王伟，等.基于供方视角的家庭医生团队签约服务工作感知及其相关因素研究［J］.中国全科医学，2021，24（10）：1218-1223，1230.

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更新日期/Last Update: 2021-10-28