社区医生慢性病管理相关技能的调查分析.docVIP

社区医生慢性病管理相关技能的调查分析 　　[摘要] 目的 分析本地社区医生慢性病（以高血压和糖尿病为代表）管理相关技能的水平，为今后慢性病管理工作的进一步发展提供依据。 方法 采用无记名问卷调查的方法，分别从一般资料、基础理论和宣教技能三个方面，对本中心辖下七个社区卫生服务站参与慢性病管理的55名医生进行问卷调查。 结果 目前本地区负责慢性病管理的社区医生群体，普遍学历、职称偏低（本科及以上学历仅占49.09%，中级及以上职称仅占12.72%），相关慢性病专科基础理论薄弱，缺乏相对应的健康宣教技能和培训。 结论 进一步深化医疗改革，落实社区医生编制和待遇，逐步建立统一规范的全科医生培养制度，不断提高社区医生的综合业务素质，是提升慢性病管理质量的重要保证。 　　[关键词] 社区医生；慢性病管理；相关技能；问卷调查；分析 　　[中图分类号] R197.6 [文献标识码] A [文章编号] 1674-4721（2014）08（a）-0146-02 　　Investigation and analysis of community physician′ skill related to management of chronic disease 　　LU Zhi-sheng 　　Department of Community，Chen-Xinghai Hospital of Zhongshan City in Guangdong Province，Zhongshan 528415，China 　　[Abstract] Objective To analyze the level of local community physician′ skill related to management of chronic disease on representative of hypertension and diabetes mellitus so as to provide basis for further development of management of chronic disease. Methods By anonymous questionnaire survey，55 physicians engaging in management of chronic disease in 7 community health service stations under supervision of our center were investigated on 3 aspects including demographic information，basic theory and promotion skill. Results The overall background education and professional title in the community physicians responsible for management of chronic disease were inferior.To be specific，the background education in bachelor degree and above only accounted for 49.09%，and the professional title in medium-grade and above merely accounted for 12.72%.The basic theory of specialty in related chronic disease was weak and the corresponding health promotion skill and training were in shortage. Conclusion The significant guarantee on improving management quality of chronic disease is to further deepen medical reform，put manning quotas and salary of community physicians into practice，gradually establish a standardized training system for general practitioner and continually improve integrated professional skill of community physi