深圳市市级医院及社康中心医师门诊接诊状况调查

目的：通过对市级医院和社康中心医师日常接诊状况的调查,分析社康中心建设对缓解大医院就诊压力所起的作用。方法问卷调查深圳市3家市级医院的169名医师和8家社康中心59名医师,分析比较日接诊人次、转诊比例等状况。结果市级医院内科医生日接诊量50人次以上者占大多数（43.8%）,社康中心医师日接诊量在30~50人次的占大多数（40.6%）。市级医院口腔医生中,50.9%认为接受社康中心转诊而来就诊的患者比例不到10%,32.1%报告因对专业分科不明确而挂错号的患者占25%以上。结论深圳市市级医院医生仍面临高强的门诊压力,社区首诊与转诊制仍度需进一步推进。

Survey on the Clinical Reception Condition of the Municipal Hospitals and Community Health Service Centers of Shenzhen

Objectives To analyze the functions of the community health service centers （CHSCs）on easing pres-sures for municipal hospitals according to survey on the clinical reception of both CHSCs and municipal hospitals. Methods Questionnaires about daily clinical reception from 1 69 doctors in 3 municipal hospitals and 59 doctors in 8 CHSCs of Shenzhen were obtained.The amount of daily patient visits and proportion of referrals were analyzed.Re-sults The major workload of clinicians in municipal hospital was more than 50 patients per day,and that in CHSC was between 30 and 50.In addition,50.9% of the municipal hospital dental clinicians＇questionnaires indicated that the amount of referral from CHSCs was less than 10%.And 32.1% dental clinicians reported that 25% patients were incorrectly registered because of unawareness of dental specialization.Conclusions The municipal hospital doc-tors of Shenzhen still face a great pressure of outpatient treatment.Moreover,the community first diagnosis and re-ferral system still need to be improved.