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目的:探讨影响山西省基层卫生机构服务绩效的制度性因素。方法:问卷调查法。利用卡方检验和多元Logistic回归分析基层医疗机构服务绩效的影响因素。结果:“位于城市”、“实行全科医生签约服务”、“参加医联体”和“上级医疗机构坐诊或会诊”是基层医疗机构服务绩效的激励因素。结论:推行全科医生签约服务,开展医联体,有利于提高基层医疗机构服务绩效,推进分级诊疗。
Objective: To explore the institutional factors affecting the service performance of primary health care institutions in Shanxi Province. Method: Questionnaire method. Using chi - square test and multivariate Logistic regression to analyze the influential factors of service performance in primary medical institutions. Results: “In the city ”, “Practicing general practitioner contracting services ” “Attending physicians ” and “superior medical institutions Zuozhen or consultation ” is the incentive factor for the performance of primary medical services. Conclusion: The implementation of general practitioner contracting services and the implementation of Medical Association are conducive to improving the service performance of primary medical institutions and promoting the grading of medical treatment.