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基层医疗卫生机构管理者眼中的初级卫生保健运作情况。

Functioning of primary health care in opinion of managers of primary health care units.

作者信息

Bojar I, Wdowiak L, Kwiatosz-Muc M

机构信息

Chair and Department of Health Protection Management and Economics, Medical University, Lublin, Poland.

出版信息

Adv Med Sci. 2006;51:237-41.

PMID:17357316
Abstract

PURPOSE

The aim of the research is to get to know opinions of primary health care managers concerning working of primary health care and concerning quality of medical services offered by family doctors out-patient clinics.

MATERIAL AND METHODS

The research among managers of primary health care units took place in all out-patient clinics in Lublin province. Research instrument was survey questionnaire of authors own construction. Results were statistically analyzed.

RESULT

From 460 surveys sent, 108 questionnaires were accepted to analysis. Majority of managers of out-patient clinics of primary health care is satisfied with the way and the quality of work of employed staff. In opinion of 71.3% of managers access to family doctor services is very good. Availability of primary health care services is better estimated by managers of not public units. The occupied local provide comfortable work for the staff in opinion of 78.5% of surveyed managers of out-patient clinics. Managers estimate the level of their services as very good (37.96%) and good (37.96%) comparing to other such a subjects present in the market. Internal program of improving quality is run in 22% of out-patient clinics, which were investigated.

CONCLUSIONS

Managers of primary health care units assess the quality of their services as good and very good. They estimate positively the comfort and politeness in serving patients as well as technical status of equipment and the lodging. They assess availability of their services as very good. Large group of managers of family doctors practices recognizes neighborhood practices as a competitors.

摘要

目的

本研究旨在了解初级卫生保健管理人员对初级卫生保健工作以及家庭医生门诊所提供医疗服务质量的看法。

材料与方法

对卢布林省所有门诊诊所的初级卫生保健单位管理人员进行了研究。研究工具是作者自行编制的调查问卷。对结果进行了统计分析。

结果

在发放的460份调查问卷中,有108份问卷被纳入分析。大多数初级卫生保健门诊诊所的管理人员对所雇员工的工作方式和质量感到满意。71.3%的管理人员认为获得家庭医生服务的机会非常好。非公共单位的管理人员对初级卫生保健服务的可及性评价更高。78.5%的受访门诊诊所管理人员认为现有的场所为员工提供了舒适的工作环境。与市场上其他同类机构相比,管理人员对其服务水平的评价为非常好(37.96%)和好(37.96%)。在接受调查的门诊诊所中,22%实施了内部质量改进计划。

结论

初级卫生保健单位的管理人员将其服务质量评价为好和非常好。他们对为患者服务时的舒适度和礼貌程度以及设备和场所的技术状况给予积极评价。他们认为其服务的可及性非常好。很大一部分家庭医生诊所的管理人员将周边诊所视为竞争对手。

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