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. 曾釗, 劉娟. 中共中央、國務院印發《" 健康中國 2030”規劃綱要》. 中華人民共和國國務院公報, 2016(32): 5-20.
2. 賈勇, 秦麗霞, 曾玲, 等. " 基層醫療衛生機構的能力建設”主題研討. 中國全科醫學, 2017, 20(2): 127-132.
3. 韓志琰. 基于醫療服務分流的農村醫療機構住院患者就醫選擇行為及滿意度研究. 山東大學, 2012.
4. 國務院辦公廳. 國務院辦公廳關于推進分級診療制度建設的指導意見. (2015-09-11) [2017-08-01]. http://www.gov.cn/ zhengce/content/2015-09/11/content--10158.htm.
5. 國家衛生和計劃生育委員會. 社區衛生服務評價指南. 北京: 國家衛生和計劃生育委員會, 2016.
6. 楊敬, 馬偉杭, 徐飛鴻, 等. 浙江省分級診療現狀及問題分析. 中華醫院管理雜志, 2015, 31(12): 922-924.
7. 四川省衛生和計劃生育委員會. 2015 年四川省衛生和計劃生育事業發展統計公報. 中國發展門戶網, 2016-9-21(2). http://cn.chinagate.cn/reports/2016-09/12/content_39282703.htm.
8. 國家衛生和計劃生育委員會. 2016 年中國衛生和計劃生育統計提要. 北京: 中國協和醫科大學出版社, 2016.
9. 國家衛生和計劃生育委員會. 2015 年我國衛生和計劃生育事業發展統計公報. 新華網, 2016-7-21(2). http://news.xinhuanet. com/health/2016-07/21/c_129166225.htm.
10. 蘇宇, 郭丹丹, 魏威, 等. 新醫改下發揮基層中醫服務優勢促進分級診療制度構建. 中國醫院管理, 2016, 36(3): 4-7.
11. 潘秋予, 王敏, 謝冬梅, 等. 我國分級診療的現狀和對策研究. 醫學信息, 2015(11): 27-28, 29.
12. 付文琦, 劉國祥, 吳群紅, 等. 我國基層醫療機構床位配置及公平性變化趨勢分析. 中華醫院管理雜志, 2016, 32(3): 217-220.
13. 金燕. 新醫改背景下安徽省縣、鄉醫療機構資源綜合利用對策研究. 安徽醫科大學, 2014.
14. 劉雅倩, 鄭勇, 廖菁, 等. 四川省雙流縣鄉鎮衛生院科室設置調查分析. 實用醫院臨床雜志, 2011, 8(3): 115-117.
15. 劉國恩, 官海靜. 分級診療與全科診所: 中國醫療供給側改革的關鍵. 中國全科醫學, 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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