基于患者调查的深圳市罗湖医院集团化改革的成效初探

目的:从患者的角度对深圳市罗湖区医院集团改革实施后的成效进行探索。方法:采用问卷调查法,对罗湖区医院集团内的3家区属医院和23家社康中心的患者进行调查。结果:发放问卷990份,回收有效问卷936份,有效回收率为94.55%。认为家庭医生技术水平、服务态度、转诊服务以及解释和沟通能力等方面较好或非常好的患者占总调查人数的90%以上;给予社康中心服务水平、转诊便捷性、转诊流程、专家坐诊机制等较好或非常好评价的患者占总调查人数的80%以上。结论:罗湖医院集团建设初期成果有所显现,患者对家庭医生和社康中心的满意度较高,患者生病后通常所选的医疗机构中,选择社康中心的比例较集团成立前明显增加;未来应进一步发挥医疗集团优势,完善相关配套政策,长期成效值得进一步观察。

A study on the effect of the Luohu healthcare group reform: An analysis based on the patients' perspective

Objective: The study aimed to explore the initial effect of the Luohu healthcare group reform in Shenzhen based on the patient''s perspective. Methods: The questionnaire survey was conducted to investigate the views of patients in 3 hospitals and 23 community health centers in Luohu district. Results: A total of 936 valid questionnaires were collected and analyzed. The valid response rate was 94.55%. More than 90 percent of the total surveyed patients provided a good or very good evaluation on the healthcare services, service attitude, medical referral services and interpretation, communication skills, and better family doctor skills. More than 80 percent of the surveyed patients perceived well or very well on medical treatment, the convenience of medical referral, the referral process of the community health centers, and the specialists serving in community health centers mechanism. Conclusions: The results showed that patients had a slightly high satisfaction with family doctors and community health center, and after the group was founded, the proportion of patients who preferred going to community health centers after illness has been increasing significantly more than before. In future, a further development of the advantages of healthcare group should be brought into action and improve the relevant supporting policies. The long-term effect deserves a further observation.