北京城5区家庭医生签约服务团队构建及合作现状的定性研究(1)
[摘要] 目的 了解北京市城5區家庭医生签约服务团队组建及合作现状，提出合理建议，为提升家庭医生团队服务能力提供参考。 方法 2019年3—5月，分别对北京市东城、西城、朝阳、丰台及海淀区社区卫生服务管理中心主任(每区1名)实施个人深入访谈，访谈在各中心会议室实施，持续60～90 min。采用录音记录信息，使用内容分析法提取主题。 结果 从家庭医生团队组合、信息平台、激励措施、存在问题提取主题。团队组合：医护防经典组成基础上，各区的团队组合各具特色;信息平台：各区均依托信息平台及移动APP提升家医团队合作;激励措施：绩效奖励落实到家庭医生团队及个人;存在问题：工作量增大、人员配置不足，激励分配不科学、收入不高、团队内部考核标准缺乏，团队内部合作问题、团队成员积极性不高、全科医生基本医疗服务能力偏弱。 结论 加强人才引进、建立科学的绩效考核和奖励机制，提高家庭医生团队成员的收入，通过培训提高团队成员的合作能力及基本医疗服务能力是提高家庭医生团队服务质量的主要措施。
[关键词] 城区;家庭医生;签约服务;团队构建;团队合作;定性研究
[中图分类号] R197.1 [文献标识码] A [文章编号] 1673-7210(2020)08(c)-0059-04
A qualitative study of team building and cooperation status of family doctor contract service in five districts in Beijing
SHI Dazhen MA Wenhan ZHAO Yali
School of General Medicine and Continuing Education， Capital Medical University， Beijing 100069， China
[Abstract] Objective To understand the current situation of the formation and cooperation of the family doctors′ contracted service team in the five districts of Beijing， and to put forward reasonable suggestions to provide references for improving the service capabilities of the family doctor team. Methods From March to May 2019， conduct personal in-depth interviews of community health service management centers (one director per district) in Dongcheng， Xicheng， Chaoyang， Fengtai， and Haidian District in Beijing. The interviews were conducted in the conference rooms of each center and lasted about 60 to 90 minutes. The audio recording was used to record information， while the content analysis was applied to extract topics. Results The topics were extracted from family doctor team combinations， information platforms， incentives measures， existing problems. Team combination： based on the classic composition of medical care and defense， the team combination of each district has its own characteristics; information platform： all districts rely on information platforms and mobile APPs to enhance family doctor team cooperation; incentive measures： performance rewards are implemented to the family doctor team and individuals; existing problems： increased workload， insufficient staffing， unscientific incentive distribution， low income， lack of internal team assessment standards， internal team cooperation problems， low enthusiasm for team members， and weak basic medical service capabilities of general practitioners. Conclusion Strengthening the introduction of talents， establishing a scientific performance appraisal and reward mechanism， increasing the income of family doctors team members， and improving team members′ cooperation ability and basic medical service capabilities through training are the main measures to improve the quality of family doctor team services., http://www.100md.com(史大桢 马文翰 赵亚利)
[关键词] 城区;家庭医生;签约服务;团队构建;团队合作;定性研究
[中图分类号] R197.1 [文献标识码] A [文章编号] 1673-7210(2020)08(c)-0059-04
A qualitative study of team building and cooperation status of family doctor contract service in five districts in Beijing
SHI Dazhen MA Wenhan ZHAO Yali
School of General Medicine and Continuing Education， Capital Medical University， Beijing 100069， China
[Abstract] Objective To understand the current situation of the formation and cooperation of the family doctors′ contracted service team in the five districts of Beijing， and to put forward reasonable suggestions to provide references for improving the service capabilities of the family doctor team. Methods From March to May 2019， conduct personal in-depth interviews of community health service management centers (one director per district) in Dongcheng， Xicheng， Chaoyang， Fengtai， and Haidian District in Beijing. The interviews were conducted in the conference rooms of each center and lasted about 60 to 90 minutes. The audio recording was used to record information， while the content analysis was applied to extract topics. Results The topics were extracted from family doctor team combinations， information platforms， incentives measures， existing problems. Team combination： based on the classic composition of medical care and defense， the team combination of each district has its own characteristics; information platform： all districts rely on information platforms and mobile APPs to enhance family doctor team cooperation; incentive measures： performance rewards are implemented to the family doctor team and individuals; existing problems： increased workload， insufficient staffing， unscientific incentive distribution， low income， lack of internal team assessment standards， internal team cooperation problems， low enthusiasm for team members， and weak basic medical service capabilities of general practitioners. Conclusion Strengthening the introduction of talents， establishing a scientific performance appraisal and reward mechanism， increasing the income of family doctors team members， and improving team members′ cooperation ability and basic medical service capabilities through training are the main measures to improve the quality of family doctor team services., http://www.100md.com(史大桢 马文翰 赵亚利)