摘要
目的了解上海市金山工业区家庭医生的康复服务能力情况以及"1+1+1"家庭医生签约服务后残疾人机体功能改善、满意度、医疗费用支出情况,为后续精细化干预提供支持。方法通过自拟问卷于2016年8-10月和2017年8-10月调查金山工业区14名家庭医生基本情况及掌握康复服务技能种类等以及733名残疾人的基本人口学信息、残疾特征信息和机体功能改善情况、满意度情况和医疗支出情况等。结果 14名家庭医生年龄集中在20～50岁,均具有多种康复服务技能,能为残疾人提供个性化的"1+1+1"签约服务。733名残疾人男女性人数比为1. 08:1,肢体残疾人数最多,为334人(45. 57%),残疾等级中四级残疾人数最多,共342人(46. 66%)。"1+1+1"家庭医生签约上门服务人数和康复治疗人数较家庭医生制团队服务分别增加130人和312人。接受"1+1+1"家庭医生签约服务后,186名(25. 38%)残疾人机体功能改善,47名(6. 41%)残疾人机体功能恢复。签约残疾人满意度有一定提升,满意和非常满意人数总和由签约前的585人(79. 81%)升至签约后的714人(97. 41%)。签约残疾人医疗费用则呈现下降趋势,同比下降22. 82%。结论"1+1+1"家庭医生签约服务能够提升残疾人对康复服务的满意度,改善残疾人机体功能,降低残疾人医疗支出。
Objective To investigate the ability of rehabilitation service of community family physicians and the situation of bodily function improvement,satisfaction for rehabilitation service and medical expenditure among the disabled receiving 1 + 1 + 1contracted health services in Jinshan Industrial Zone,Shanghai. Methods Self-designed questionnaires were used to survey general information and types of rehabilitation service skills of 14 community family physicians and general demographic information,disability characteristics,situation of bodily function improvement,satisfaction for rehabilitation service and medical expenditure in 733 disabled people from August to October in 2016 and 2017. Results The average age of 14 community family physicians was in the range of 20-50 years old. They mastered many rehabilitation service skills and could provide personalized1+ 1+ 1 contracted health services for the disabled. Among the 733 disabled people,the male-to-female ratio was 1.08: 1. Most of the disabled were limb impairment(45.57%,334/733). The IV-rating disabled were in the majority(46. 66%,342/733). As compared with the team services by family physicians,the number of the disabled receiving door-to-door service and the number of the disabled with rehabilitation therapy by 1+ 1+ 1 contracted health services respectively increased 130 and 312. 186(25.38%)disabled people’s bodily function was improved,and 47(6. 41%) recovered. The satisfaction of the disabled with the contracted services was improved,and the number of the disabled with satisfaction and high satisfaction increased from 585(79.81%) before the contracted services to 714(97.41%) after the contracted services. The medical expenditure of the disabled with the contracted services showed a downward trend,decreasing by 22.82% year-on-year. Conclusions 1 + 1 + 1 contracted health services of community family physicians can enhance the disabled’s satisfaction with rehabilitation service,improve their bodily function,and reduce their medical expenditure.
作者
吴菁
杨旦红
陈磊
葛莹
顾丽鈺
WU Jing;YANG Dan-hong;CHEN Lei;GE Ying;GU Li-yu(Jiaushan Industrial Zone Community Health Service Center of Shanghai,Shanghai 201506,China)
出处
《实用预防医学》
CAS
2019年第2期166-169,共4页
Practical Preventive Medicine
基金
上海市残疾人康复科研项目(K2014019)
关键词
残疾人
家庭医生
签约服务
效果评价
the disabled
community family physician
contracted service
effectiveness evaluation
