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目的:分析探讨全科医学模式在社区诊疗服务中的作用,以促进全科医学的发展;方法:选取本社区卫生服务机构作为观察组,实施全科医学模式管理,另选取1个常规医疗模式的社区卫生服务机构作为对照组,每组随机选取出20例社区医师和150例就诊居民进行问卷调查,对比两组社区医生的临床服务能力、综合素质以及就诊居民的服务需求和服务满意度。结果:观察组医生的临床技能操作水平和各项综合能力素质评分明显高于对照组,差异具有统计学意义(P<0.05)。观察组居民对于社区就诊需求和就诊服务满意度明显高于对照组,差异具有统计学意义(P<0.05)。结论:采用生物-心理-社会的全科医学模式,能够有效提高医务人员的技能操作水平和素养,同时促进了社区居民健康理念和健康行为的养成,降低了慢性疾病的发病率和大型医疗机构的压力。
OBJECTIVE: To analyze and discuss the role of GPM in community clinics and to promote the development of GPM. Methods: To select the community health service as the observation group, to implement the GPM, and to select one regular medical model Of community health service agencies as control group, each group randomly selected 20 community physicians and 150 cases of residents surveyed, compared the two groups of community doctors clinical service capabilities, overall quality and service needs of residents and service satisfaction and satisfaction. Results: The score of clinical skill operation and comprehensive ability in observation group were significantly higher than that in control group, with statistical significance (P <0.05). The residents in the observation group were significantly more satisfied with the demand for community visits and the service of visiting the clinic than those in the control group (P <0.05). Conclusion: The bio-psycho-social general medical model can effectively improve the skill level and literacy of medical staff, promote the healthy concept of community residents and healthy behaviors, reduce the incidence of chronic diseases and large-scale medical Institutional pressure.