Analysis of the current service volume and related factors of primary health care institutions in Chengdu_West China Medical Journal

Authors：

YANG Ziyu ¹ ,  LIAO Xiaoyang ¹ , ZHANG Congyong ² , LUO Juan ³

1. Department of General Practice, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Damian Community Health Service Center, Longquanyi District, Chengdu, Sichuan 610199, P. R. China;
3. Fangcao Community Health Service Center, High-tech Zone, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIAO Xiaoyang, Email: 625880796@qq.com

Keywords：

Primary health care; Service volume; Department setting; Hierarchical diagnosis and treatment

DOI：

10.7507/1002-0179.201706036

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Objective To investigate the influencing factors in the service volume of primary health care institutions in Chengdu, and provide references for promoting the hierarchical diagnosis and treatment. Methods A self-administered questionnaire was used to investigate the service volume of a total of 390 primary health care institutions (including community health service centers and township hospitals) across 22 districts and counties of Chengdu from October to November 2016. Rank sum test, rank correlation analysis and multiple linear regression model were used to analyze the influencing factors of outpatient visits in the institutions. Results The median annual amount of outpatient visits was 60 493 in community health service centers and 31 374 in township hospitals. Between community health service centers and township hospitals, the difference in median daily visits per doctor was not significant (14.41 vs. 13.29), but the median daily visits per doctor in general practitioners (12.22 vs. 8.16), rehabilitation physicians (10.10 vs. 6.34) and traditional Chinese medical doctors (4.82 vs. 6.17) varied considerably. Multiple linear regression analysis showed that the amount of outpatient visits in community health service centers was related to the amount of intermediate physicians, while the amount of outpatient visits in township hospitals was related to the setup of dental clinics, the amount of primary physicians, the amount of beds and population to be served (P<0.05). Conclusions Differences exist in the service volume among primary health care institutions in Chengdu. It’s necessary to make proper plans for the management of administrative offices and the allocation of personnel, so as to improve medical services of primary health care institutions.

Citation： YANG Ziyu, LIAO Xiaoyang, ZHANG Congyong, LUO Juan. Analysis of the current service volume and related factors of primary health care institutions in Chengdu. West China Medical Journal, 2017, 32(8): 1153-1157. doi: 10.7507/1002-0179.201706036 Copy

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1. 曾钊, 刘娟. 中共中央、国务院印发《" 健康中国 2030”规划纲要》. 中华人民共和国国务院公报, 2016(32): 5-20.
2. 贾勇, 秦丽霞, 曾玲, 等. " 基层医疗卫生机构的能力建设”主题研讨. 中国全科医学, 2017, 20(2): 127-132.
3. 韩志琰. 基于医疗服务分流的农村医疗机构住院患者就医选择行为及满意度研究. 山东大学, 2012.
4. 国务院办公厅. 国务院办公厅关于推进分级诊疗制度建设的指导意见. (2015-09-11) [2017-08-01]. http://www.gov.cn/ zhengce/content/2015-09/11/content--10158.htm.
5. 国家卫生和计划生育委员会. 社区卫生服务评价指南. 北京: 国家卫生和计划生育委员会, 2016.
6. 杨敬, 马伟杭, 徐飞鸿, 等. 浙江省分级诊疗现状及问题分析. 中华医院管理杂志, 2015, 31(12): 922-924.
7. 四川省卫生和计划生育委员会. 2015 年四川省卫生和计划生育事业发展统计公报. 中国发展门户网, 2016-9-21(2). http://cn.chinagate.cn/reports/2016-09/12/content_39282703.htm.
8. 国家卫生和计划生育委员会. 2016 年中国卫生和计划生育统计提要. 北京: 中国协和医科大学出版社, 2016.
9. 国家卫生和计划生育委员会. 2015 年我国卫生和计划生育事业发展统计公报. 新华网, 2016-7-21(2). http://news.xinhuanet. com/health/2016-07/21/c_129166225.htm.
10. 苏宇, 郭丹丹, 魏威, 等. 新医改下发挥基层中医服务优势促进分级诊疗制度构建. 中国医院管理, 2016, 36(3): 4-7.
11. 潘秋予, 王敏, 谢冬梅, 等. 我国分级诊疗的现状和对策研究. 医学信息, 2015(11): 27-28, 29.
12. 付文琦, 刘国祥, 吴群红, 等. 我国基层医疗机构床位配置及公平性变化趋势分析. 中华医院管理杂志, 2016, 32(3): 217-220.
13. 金燕. 新医改背景下安徽省县、乡医疗机构资源综合利用对策研究. 安徽医科大学, 2014.
14. 刘雅倩, 郑勇, 廖菁, 等. 四川省双流县乡镇卫生院科室设置调查分析. 实用医院临床杂志, 2011, 8(3): 115-117.
15. 刘国恩, 官海静. 分级诊疗与全科诊所: 中国医疗供给侧改革的关键. 中国全科医学, 2016, 19(22): 2619-2624.

West China Medical Journal

Analysis of the current service volume and related factors of primary health care institutions in Chengdu

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