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漳州市基层医疗机构医疗服务能力现状及影响因素分析

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目的 调查漳州市基层医疗机构医疗服务能力现状,并分析其相关影响因素,为进一步提升基层医疗机构医疗服务能力、推进分级诊疗提供参考。方法 对漳州市15个区(市)县所有基层医疗机构2022年度医疗服务能力进行调查分析。采用单因素回归分析与多重线性回归分析模型研究影响基层医疗机构服务能力的相关因素。结果 漳州市社区卫生服务中心拥有较多的门诊量、开放床位数、卫生技术人员人数,而乡镇卫生院则有较多的住院量、乡村医师数。多因素分析显示,开放床位数、本科及以上学历人数、药师(士)人数、开展检查检验项目数越多,诊疗量越高(P<0。05)。结论 漳州市不同的基层医疗机构服务能力存在差异,需进一步促进优质医疗资源下沉到基层,提高基层医疗服务能力。
Current status and influencing factors related to medical service capabilities of pri-mary medical institutions in Zhangzhou
Objective To investigate the current status and influencing factors related to medical service capabilities of primary medical institutions in Zhangzhou city and provide reference for further improvement of medical service capabilities of primary medical institutions,thus promoting hierarchical diagnosis and treatment.Methods The medical service capacity of all primary medical institutions in 15 counties of Zhangzhou city in 2022 was investigated and analyzed.The related factors affecting the service ability of primary medical institutions were studied through single factor and multi-factor linear regression analysis.Results The community healthcare center of Zhangzhou city had a higher number of outpatients,open beds,and health techni-cians,while township hospitals had more inpatients and rural doctors.Multivariate analysis revealed that there was a significant correlation between the number of open beds,staff with bachelor's degree or above,pharmacists,number of laboratory test i-tems,and the amount of consultation and treatment(P<0.05).Conclusion There are disparities in the service capacity among primary medical institutions in Zhangzhou city.Therefore,it is essential to further promote the allocation of high-quality medical resources at the primary level to enhance their service capacity.

primary caremedical service capacityinfluencing factorshierarchical diagnosis and treatment

王进贤

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福建医科大学附属漳州市医院,漳州 363000

基层医疗 医疗服务能力 影响因素 分级诊疗

2024

福建医药杂志
中华医学会福建分会

福建医药杂志

影响因子:0.525
ISSN:1002-2600
年,卷(期):2024.46(7)