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目的了解基层医务人员对慢性病医防整合的认知水平及需求,为基层医疗卫生机构实现慢性病医防整合提供依据。方法采用定性访谈与定量调查相结合的方法,采取小组讨论和现场问卷调查的方式,分别对8家社区卫生服务中心的8名负责人和168名医务人员进行调查。结果接受调查的社区卫生服务中心负责人认为医疗和预防两类机构的职责尚需明确,医防整合的工作机制还需健全,对社区卫生服务机构的慢性病非药物干预技术培训需加强。医务人员对疾控中心的合作关系及其指导效果认可度分别为56.55%和47.02%,开展患者健康教育、行为指导和慢性病知识行为的调查工作认可度分别为98.21%、97.62%和97.02%。医务人员对预防医学教育培训的必要性认同度达89.29%;92.26%希望接受慢性病防治相关知识培训;88.10%希望培训形式为专题讲座。结论社区卫生服务机构对慢性病防治的医防整合工作尚需进一步深化,应健全基层医务人员培训机制,选择合适的培训模式提高基层医务人员慢性病综合防治能力。
Objective To understand the cognitive level and needs of primary medical staff in the integration of prevention and treatment of chronic diseases, and provide the basis for primary medical and health institutions to achieve integration of chronic diseases prevention and treatment. Methods The methods of qualitative interview and quantitative investigation were used to investigate 8 heads of 8 community health service centers and 168 medical staffs by way of group discussion and on-the-spot questionnaire. Results The heads of community health service centers surveyed believed that the responsibilities of both the medical and prevention agencies need to be clearly defined, and the working mechanism of medical and health integration needs to be further improved. The training of community health service institutions on non-drug chronic disease interventions needs to be strengthened. The cooperation between medical staff and the CDC and the recognition of their guiding effects were 56.55% and 47.02% respectively. The acceptance of investigation work on patient health education, behavioral guidance and knowledge of chronic diseases was 98.21%, 97.62% and 97.02% respectively. Medical staff have 89.29% recognition of the necessity of preventive medical education and training; 92.26% want to receive relevant knowledge of chronic disease prevention and control training; and 88.10% hope that training forms are thematic lectures. Conclusion The community health service agencies need to further deepen the medical and anti-integration efforts for the prevention and control of chronic diseases. The training mechanism of grassroots medical staff should be improved and the appropriate training mode should be selected to improve the comprehensive prevention and control of chronic diseases of grassroots workers.