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社区卫生服务中心康复服务现状及居民需求研究

Study on the rehabilitation service status and the demand of residents in community health service center
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摘要 目的 了解上海市金山区社区卫生服务中心康复医学科建设情况,辖区居民对社区卫生服务中心康复医疗的知晓情况及需求。方法 2024年9月1日至30日采用问卷对上海市金山区11所社区卫生服务中心康复医学科建设情况进行调查研究,并对11所社区卫生服务中心943名全科门诊就诊患者开展问卷调查。结果 共发放问卷1000份,回收950份,其中有效问卷943份,有效率为99.26%。其中,认为目前社区卫生服务中心的康复服务项目完全满足社区居民需求的仅占27.89%;有70名就诊患者完全不知道康复医生。在11所被调研的社区卫生服务中心中,10所开设独立康复医学科,康复科病床数共146张,配备康复医师45名,康复技师37位,医技比1:0.82;设置水疗室和天轨悬吊减重训练区的比例分别为9.09%和45.45%;具备心理康复、儿童康复、心脏康复和肺康复等康复类型的涵盖比例在18%~45%。结论 上海市金山区社区康复医师数量不足,医技比欠合理,康复科技师职称偏低,缺乏高学历以及高级职称技师人才;需加大康复人才培养,实现学科梯队可持续发展。区内居民对康复医学科的知晓率不高,康复相关知识的宣传教育有待加强。 Objective To investigate the current status of rehabilitation medicine services and resident demand at community health centers in Shanghai's Jinshan District.Methods A cross-sectional study was conducted during September 2024 across all 11 community health centers in Jinshan District.Facility assessments were performed along with questionnaire surveys administered to 943 outpatients.Results 1,000 questionnaires were distributed,950 questionnaires were recovered,including 943 valid questionnaires,with an effective rate of 99.26%.Among them,only 27.89%believed that the rehabilitation services of community health service centers fully meet the needs of community residents;70 patients were completely unaware of the rehabilitation doctors.Among the 11 community health service centers surveyed,10 hospitals have opened independent rehabilitation medicine departments.The number of rehabilitation hospital beds is 146.Equipped with 45 rehabilitation doctors,37 rehabilitation technicians,the medical technology ratio of 1:0.82.The proportion of spa rooms and sky-rail suspension weight reduction training areas were 9.09%and 45.45%,respectively.Have psychological rehabilitation,Child rehabilitation,cardiac rehabilitation,and pulmonary rehabilitation cover between 18%and 45%,respectively.Conclusion The number of community rehabilitation doctors in Jinshan District of Shanghai is insufficient,the medical technology ratio is not reasonable,the professional title of rehabilitation technicians is low,and the lack of highly educated and senior professional technicians;the training of rehabilitation talents is needed to realize the sustainable development of discipline echelon.The awareness rate of residents in the rehabilitation medicine department is not high,and the publicity and education of rehabilitation related knowledge need to be strengthened.
作者 史东文 王芳 金超琼 何岱昆 SHI Dongwen;WANG Fang;JIN Chaoqiong;HE Daikun(Community Health Service Center,Caojing Town,Jinshan District,Shanghai 201507;Fudan University Affiliated Jinshan Hospital,Shanghai 201508,China)
出处 《中国老年保健医学》 2025年第4期59-63,共5页 Chinese Journal of Geriatric Care
关键词 社区卫生服务中心 康复医学科 建设现状 康复服务 康复 需求 community health service center rehabilitation medicine construction status rehabilitation service demand
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