从医务人员角度看家庭健康管理工作的困难与问题的定性研究

目的 从供方角度了解并分析重庆市某区家庭健康管理服务开展过程中遇到的困难和问题，为推动家庭健康管理工作提供建议。方法 选择重庆市某区5家社区卫生服务中心家庭健康管理服务的管理者5名与参与该工作的医务人员16名进行个人深入访谈。结果 宣传不足、医务人员业务素质较低及工作积极性不高、相关政策不完善、硬件设备等条件不足是制约该区家庭健康管理工作的主要因素。结论 需要扩大宣传，加强对医务人员培训并提高其工作积极性，完善配套政策及硬件设备等条件，从而推进家庭健康管理服务深入可持续开展。

Qualitative study on current issues of family health management from the perspective of medical personnel

Objective To investigate the difficulties and problems of family health management in a district of Chongqing from the perspective of health service providers, so as to propose suggestions to promote family health management. Methods Participants included 5 community health administrators and 16 health care workers; they were sampled from 5 community health service centers in a district of Chongqing. In-depth individual interviews were conducted among the participants from March to July 2013. Results The critical factors restricting the family health management in the district included poor compliance of residents due to lack of propaganda, unqualified service and lack of motivation from the health workers, lack of supportive policies, and inadequate equipments. Conclusion To ensure a sustainable development of family health management, efforts should be made to train the health care workers and to improve their motivation, the supportive policies, and equipments.