Please wait a minute...
文章检索
预防医学  2018, Vol. 30 Issue (2): 117-120    DOI: 10.19485/j.cnki.issn2096-5087.2018.02.003
  论著 本期目录 | 过刊浏览 | 高级检索 |
丽水市医务人员慢性病防控医防整合认知现状调查
梅少林1, 曾长佑1, 刘晓红1, 张建宏2
1.丽水市疾病预防控制中心,浙江 丽水 323000;
2.云和县疾病预防控制中心
Cognitive status on prevention and control of chronic diseases among the medical staff
MEI Shao-lin*, ZENG Chang-you, LIU Xiao-hong, ZHANG Jian-hong
*The Center for Disease Control and Prevention of Lishui City,Lishui,Zhejiang 323000,China
全文: PDF(442 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 了解丽水市县级医院和基层医疗卫生服务机构医务人员对慢性病医防整合的认知情况。方法 于2016年8—10月采用分层整群抽样法,抽取丽水市莲都区、云和县和景宁县的3家县人民医院、2家县中医院及39家社区卫生服务中心共573名医务人员进行问卷调查。结果 调查县级以上医院医务人员252人,占43.98%;基层医疗卫生服务机构医务人员321人,占56.04%。96.86%的医务人员认为医防整合有必要,仅32.98%认为当地真正开展医防整合,仅36.13%接触过县级“五大防办”。重点慢性病患者双向转诊和适宜技术基层推广工作开展情况较好,分别有77.38%的县级以上医院医务人员和75.70%的基层医疗卫生服务机构医务人员参与过双向转诊工作,分别有66.67%的县级以上医院医务人员和93.46%的基层医疗卫生服务机构医务人员参与过适宜技术基层推广工作。82.72%的医务人员1年内举办或参加过慢性病适宜技术培训班,但举办或参加≥3次的比例仅为24.08%。结论 县级“五大防办”平台推动慢性病防控的医防整合工作尚需进一步深化,应健全医务人员培训机制,提高医务人员慢性病综合防治能力。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
梅少林
曾长佑
刘晓红
张建宏
关键词 医务人员慢性非传染性疾病医防整合    
AbstractObjective To explore the cognitive level and demand of chronic disease prevention and treatment integration in the County hospitals and primary health care institutions. Methods A stratified cluster sampling method was used to investigate the medical staff of five county-level hospitals and 39 community health service centers in Liandu District,Yunhe County and Jingning County,and qualitative interviews and on-site questionnaire survey were carried out among 573 medical staff from August to October in 2016. Results A total of 252 medical personnel at the county level or above,accounting for 43.98%,and 321 medical personnel in primary health care institutions,accounting for 56.04%. And 96.86% of the medical staff thought it is necessary to integrate medical treatment and prevention. Only 32.98% think that the local medical and anti-integration were the real ones and only 36.13% have contacted the“top five prevention and control offices”at the county level. Two-way referral of key chronic patients and promotion of grassroots promotion of appropriate technology were better. And 77.38% of medical staff at medical institutions above the county level and 75.70% of medical personnel of primary medical institutions participated in the two-way referral work,with 66.67% of county level medical staff of above medical institutions and 93.46% medical staffs of primary medical institutions participated in the promotion of grassroots workplaces for appropriate technologies. And 82.72% of the medical staff held or participated in appropriate technical training courses for chronic diseases within one year,but the proportion of holding or participating in ≥3 times was only 24.08%. Conclusion The work that county level five platform to promote chronic disease prevention and control of chronic disease prevention and treatment of medical integration still need to be strengthened. We should use the appropriate training mode to improve comprehensive prevention and treatment of chronic diseases among primary medical staff.
Key wordsPrimary medical staff    Chronic diseases    Medical insurance integration
收稿日期: 2017-08-14      出版日期: 1900-01-01
ZTFLH:  R197.32  
基金资助:丽水市科技局科技自筹项目(2015sjzc36); 浙江省预防医学会科研项目
通信作者: 曾长佑,E-mail:lsjkzcy@163.com   
作者简介: 梅少林,本科,主任医师,主要从事慢性病预防控制工作
引用本文:   
梅少林, 曾长佑, 刘晓红, 张建宏. 丽水市医务人员慢性病防控医防整合认知现状调查[J]. 预防医学, 2018, 30(2): 117-120.
MEI Shao-lin, ZENG Chang-you, LIU Xiao-hong, ZHANG Jian-hong. Cognitive status on prevention and control of chronic diseases among the medical staff. Preventive Medicine, 2018, 30(2): 117-120.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2018.02.003      或      http://www.zjyfyxzz.com/CN/Y2018/V30/I2/117
[1] 秦江梅. 中国慢性病及相关危险因素流行趋势、面临问题及对策[J]. 中国公共卫生,2014,30(1):1-4.
[2] 中华人民共和国卫生部疾病预防控制局,中国疾病预防控制中心. 中国慢性病报告[R]. 2011.
[3] 赵艳荣,杨清,韩宗梅,等. 区域基本公共卫生服务评价方法研究[J]. 浙江预防医学,2014,26(2):133-136,145.
[4] 何欢,王畅,甄清,等. 吉林省慢性病患者社区卫生服务利用现状调查[J]. 中国公共卫生,2014,30(10):1247-1249.
[5] 余晓岚,张立军,张静,等. 2型糖尿病患者社区家庭医生团队服务效果评价[J]. 预防医学,2017,29(5):472-474.
[6] 李辉,陈洁平,崔军,等. 宁波市慢性病“1+X”医防整合模式实践与思考[J]. 中国健康教育,2015,31(9):909-911.
[7] 周娓,元国平,岑焕新. 基层医务人员慢性病医防整合认知及相关需求调查[J]. 预防医学,2016,28(9):967-969.
[8] 汉业旭,姚峥,徐立新,等. 大型综合医院对口支援社区卫生机构的实践[J]. 中国医院,2014,18(12):37-38.
[9] 朱圣扬,顾红波. 全科医生签约服务的实践[J]. 浙江预防医学,2015,27(6):623-624,627.
[10] MENKE A,CASAGRANDE S,GEISS L,et al. Prevalence of and trends in diabetes among adults in the United States,1988-2012[J]. JAMA,2015,314(10):1021-1029.
[11] WANG J,ZHANG L,WANG F,et al. Prevalence,awareness,treatment,and control of hypertension in China:results from a national survey[J]. American Journal of Hypertension,2014,27(11):1355-1361.
[1] 宋晓宇, 徐文妹, 陈静, 曹瑾, 俞海萍. 慢性非传染性疾病管理模式研究进展[J]. 预防医学, 2019, 31(9): 901-905.
[2] 黄文,李金,陈奇峰. 绍兴市老年人群慢性病危险因素聚集性分析[J]. 预防医学, 2019, 31(11): 1112-1115.
[3] 汤雪娟,谭洁,肖霞. 嘉兴市医疗保健机构产科服务能力调查[J]. 预防医学, 2018, 30(9): 955-957.
[4] 王志华,张析哲,曲建卫,咸本松. 不同医保类型慢性病住院患者直接医疗费用负担及影响因素分析[J]. 预防医学, 2018, 30(8): 780-784.
[5] 胡青坡,陆少艳,顾建红,缪红,王静. 医务人员颈椎不适及影响因素研究[J]. 预防医学, 2018, 30(7): 688-692.
[6] 潘东霞,谢开婿,陈玲,顾琦俊. 桐乡市主要慢性病早死亡概率及对期望寿命的影响[J]. 预防医学, 2018, 30(6): 586-589.
[7] 轩凯, 赵红霞, 吴昊. 某院医务人员职业暴露监测结果分析[J]. 预防医学, 2018, 30(5): 528-530.
[8] 陈策, 朱文标, 郑丽丹, 胡立荣, 林春燕, 蔡子耀. 温州市基层医务人员《精神卫生法》相关知识调查[J]. 预防医学, 2018, 30(3): 313-316.
[9] 王海明, 王春丽, 冯伟. 奉化区主要慢性非传染性疾病早死概率分析[J]. 预防医学, 2018, 30(2): 134-138.
[10] 范吉星, 陈狄. 医务人员维生素D水平与血脂的相关性研究[J]. 预防医学, 2018, 30(2): 167-169.
[11] 倪建晓, 苏依所, 郑剑勇, 黄秀敏, 吴文秀. 瓯海区居民死因及减寿分析[J]. 预防医学, 2018, 30(12): 1258-1260.
[12] 王伟伟, 乔楚, 王丰, 吴首伟, 田猛, 蒋玉花. 金山区35周岁以下医务人员亚健康状况及影响因素分析[J]. 预防医学, 2018, 30(11): 1133-1135.
[13] 周美儿, 应月丹, 周飞淦, 杜燕华. 某医院医务人员职业暴露监测分析[J]. 预防医学, 2017, 29(6): 619-622.
[14] 李思瑜,林海江,王良友,乔冬菊,谢文军,赵璐璐. 台州市四类慢性非传染性疾病报告发病率分析[J]. 预防医学, 2017, 29(2): 177-179.
[15] 叶卫东,诸建芳,占日新. 某二级综合医院医务人员职业暴露调查[J]. 预防医学, 2017, 29(12): 1265-1267.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed