摘要
目的 :研究社区卫生服务培训需求。方法 :深入访谈与问卷调查相结合。共走访了成都和攀枝花市的卫生管理干部和社区医生 18人 ,了解社区卫生服务开展状况。用分层定额抽样的方法抽取了 3个成都市的社区 ,入户调查居民 10 4 1人 ,了解其卫生服务需求和利用情况 ,以及对社区卫生服务的态度。结果 :社区卫生服务内容以常见病的诊疗为主 ,预防保健、计划生育等服务较少 ,且缺乏协调 ;社区卫生服务模式多样。社区医生与服务对象的关系及服务方式正在发生转变 ,社区医生未能完全适应此转变。医院对社区卫生服务的认识存在误区。社区卫生服务缺乏有效的激励机制。多数居民尚未能接受目前的社区卫生服务。结论 :社区卫生服务培训应与社区卫生工作者的实践相结合。社区卫生服务培训应分阶段、分层次、有目的、有针对性地开展。培训对象应包括 :管理干部、师资、社区医生和社区护士。
Objective:To assess the training needs for community health services.Methods:Both indepth interview and questionnaire survey were used in this study.A total of 16 community health centers in Chengdu and Panzhihua were visited.We interviewed 18 administrators and community physicians to document the current situation of community health services.The questionnaire survey was conducted in Chengdu.We selected 3 communities using proportional stratified sampling method and surveyed 1041 community residents to investigate the health needs and use pattern of health services by the residents,as well as their attitudes towards community health services.Results:The main contents of community health services are the diagnosis and treatment of common diseases.Although many community health centers also provided preventive and family planning services,these practices were not coordinated and integrated.There were diversity models in providing ommunity health services.The relationship between community practitioners and clients and the pattern of providing services were changing.Community practitioners were not well adapted to the changes.Hospitals had some misunderstandings on the purpose of community health services.There was lack of an efficient incentive mechanism.Most residents still could not accept the current community health services.Conclusion:Training of community health practitioners should consider the reality of the practice of community health services.Phased training programs should be encouraged to orient to different trainees and different aims.The relevant trainees for community health services should include health administrators,trainers,community physicians,and community nurses.
出处
《现代预防医学》
CAS
2002年第3期328-330,共3页
Modern Preventive Medicine
