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[目的]分析上海市社区全科服务团队配置及服务开展现况,为开展社区全科团队服务模式研究提供基础信息。[方法]发放调查问卷对全市所有社区卫生服务中心全科服务团队开展现况调查,进行计数、构成比和中位数等统计分析,比较市区、近郊区、远郊区社区全科服务团队设置、团队人员配备情况,对团队服务项目进行排序。[结果]全市96.62%的社区组建全科服务团队,团队地域(人口)配置达标率、每万人口专业人员配置达标率分别为59.83%、27.34%。每个团队平均服务人口0.96万人、服务里委(村)数3个、服务半径1.5 km、配备专业人员7人。地区配置平均水平存在差异,市区、近郊区、远郊区地域(人口)配置达标率分别为80.35%、55.81%、47.79%;每万人口专业人员标准配置达标率分别为6.07%、38.15%、34.95%;团队服务人口市区最多为1.65万,远郊区最少为0.53万;服务居委(村)市区最多为5个、远郊区最少为2个;服务半径市区最小为0.68 km,远郊区最大为2 km;团队人员配备也不一致,市区团队配备全科医生、护士、公卫医生各2人,近郊区全科医生和护士各2人、公卫医生1人,远郊区配备全科医生、护士、公卫医生各1人、乡村医生3人。示范点社区卫生全科团队平均开展服务项目23个,前20个项目中60%为慢病防治相关项目。[结论]社区基本完成全科团队组建,市区、近郊区、远郊区县团队配置存在差异,团队专业人员配备有待提高。全科团队开展以慢病防治为主的社区公共卫生服务。
[Objective] To analyze the status quo of the configuration and service of community service team in Shanghai and provide basic information for the research on service mode of community general team. [Methods] Questionnaire was issued to investigate the status quo of general service team of all community health service centers in the city, and the statistical analysis of count, composition ratio and median were made, and the community general service team settings in suburbs, suburbs and suburbs were compared , Team staffing situation, the team service project to sort. [Results] 96.62% of the communities in the city set up the general service team with the team’s geographical (population) compliance rate, and the compliance rate of professionals per 10,000 population was 59.83% and 27.34% respectively. Each team has an average service population of 9,600 people and a total of 3 service centers (villages) with a service radius of 1.5 km and 7 professional staff. There are differences in the average level of regional distribution. The compliance rate of urban (population) allocation in suburbs, suburbs and outskirts is 80.35%, 55.81% and 47.79% respectively. The standard compliance rate of professionals per 10,000 population is 6.07% and 38.15% respectively, 34.95%; team service population of up to 16500 urban areas, the suburbs at least 5300; service neighborhood (village) up to 5 urban areas, suburbs at least 2; service radius of the urban minimum is 0.68 km, far The suburbs with a maximum of 2 km; team members are also equipped with inconsistencies, the city team with general practitioners, nurses, public health doctors each 2 people, nearly 2 general practitioners and nurses in the suburbs, 1 public health doctors, equipped suburban suburbs 1 doctor, nurse, 1 doctor and 1 doctor and 3 village doctors. The demonstration community health general team conducted an average of 23 service projects, 60% of the first 20 projects are related projects for the prevention and control of chronic diseases. [Conclusion] The community basically completed the establishment of general team, there were differences in the team configuration in urban, suburban and suburban districts and counties, and the team professionals needed to be improved. General team to carry out chronic disease prevention community-based public health services.