论文部分内容阅读
目的了解定点医院结核病防治模式实施效果,为完善医防合作机制提供参考依据。方法 2012年4月招募3省6个地市和县区(山东省德州市夏津县和济宁市兖州市,湖南省岳阳市君山县和长沙市岳麓区,以及甘肃省平凉市崆峒区和张掖市高台县)的卫生行政部门人员、结防机构和定点医院的管理人员和业务人员进行个人深度访谈。结果探索结核病防治新模式,实现优势互补提供更好的诊疗和公共卫生服务是申请实施定点医院模式的主要原因。调查对象认为实施定点医院模式强化了医防合作,提高了结核病诊疗和防控总体工作水平,有助于减少医患纠纷提高患者治疗依从性。调查发现,定点医院模式在防治经费保障、工作职责衔接落实、医院诊疗工作规范性以及患者医疗负担等方面还面临挑战。结论实施定点医院模式取得了积极效果,得到调查对象的普遍认可,应采取措施完善定点医院模式,保障医防合作机制的可持续发展。
Objective To understand the effect of tuberculosis prevention and control in designated hospitals and to provide reference for improving the mechanism of medical cooperation. Methods In April 2012, 6 prefectures and cities in 3 provinces (Xiajin County, Dezhou City, Shandong Province, Yanzhou City, Jining City, Junshan County, Yueyang City, Hunan Province and Yuelu District, Changsha City, and Langfang District, Pingliang City, Gansu Province and Zhangye City Gaotai County) health administrative department personnel, prevention and treatment institutions and designated hospitals, managers and business personnel to conduct in-depth personal interviews. Results Exploring new modes of tuberculosis prevention and control to achieve complementary advantages Providing better treatment and public health services is the main reason for applying for the implementation of the designated hospital model. The respondents believed that the implementation of fixed-point hospital model strengthens the cooperation between doctors and patients, improves the overall level of work in tuberculosis diagnosis and treatment, and helps to reduce doctor-patient disputes and improve patient compliance. The survey found that the fixed hospital model in the prevention and treatment of funds to ensure that the work carried out the task of concordance, norms of hospital treatment and patient medical burden and so on are also facing challenges. Conclusion The implementation of fixed-point hospital model has achieved positive results. It has been generally accepted by the respondents. Measures should be taken to improve the fixed-point hospital model so as to ensure the sustainable development of medical cooperation prevention and control system.