[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):075-79.[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):075-79.[doi:10.13912/j.cnki.chqm.2023.30.8.16 ]
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山东省社区卫生服务中心老年慢病管理脆弱性评价研究
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《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:
075-79
栏目:
社区卫生质量
出版日期:
2023-08-15

文章信息/Info

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.

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更新日期/Last Update: 2023-08-15