Volume 20 Issue 5
May  2022
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SONG Hui-jiang, QIN Wei, HUANG Xi-ya, YANG Li-ping. Analysis and evaluation of quality control of community general practice in Pudong New District, Shanghai[J]. Chinese Journal of General Practice, 2022, 20(5): 812-815. doi: 10.16766/j.cnki.issn.1674-4152.002461
Citation: SONG Hui-jiang, QIN Wei, HUANG Xi-ya, YANG Li-ping. Analysis and evaluation of quality control of community general practice in Pudong New District, Shanghai[J]. Chinese Journal of General Practice, 2022, 20(5): 812-815. doi: 10.16766/j.cnki.issn.1674-4152.002461

Analysis and evaluation of quality control of community general practice in Pudong New District, Shanghai

doi: 10.16766/j.cnki.issn.1674-4152.002461
Funds:

 201940049

  • Received Date: 2021-06-03
    Available Online: 2022-09-05
  •   Objective  To analyse the quality control evaluation results of community general practice in Pudong New Area, Shanghai, in order to determine the direction for the optimised development of community general practice in Pudong New Area.  Methods  From May 6 to 31, 2019, a quality control team was organised by the person in charge of Shanghai East District to conduct general practice quality control evaluations on 47 community health service centres in Pudong New District, through field investigations. The assessment content included the basic conditions of the institution, staffing and job responsibilities of general practitioners, general medical quality management, disease diagnosis and treatment capabilities of general practitioners, chronic disease management and treatment capabilities of general practitioners, education and training of general practitioners, and additional items of scientific medical research and teaching status.  Results  The average standard score of 47 community health service centres in Pudong New Area was (87.9±4.7) points, and the total score was (90.2±6.0) points. The number of institutions with total score of C was the largest [29 (61.7%)]. Compared with the city's average level, the education and training of general practitioners in Pudong New Area ranked first in the city, whereas the rest were without obvious advantages. The disease diagnosis and treatment capabilities of general practitioners and the additional points of scientific research and teaching were lower than the city's average; the disease diagnosis and treatment capability scores of urban and suburban general practitioners were the lowest in the city. Correlation analysis results showed that scientific research and teaching was positively correlated with the staffing and job responsibilities and disease diagnosis and treatment capabilities of general practitioners (all P < 0.05). The results of the difference analysis showed that there was a statistically significant difference in the scientific medical research and teaching status scores between the urban and suburb (P < 0.05).  Conclusion  In the quality control of community general practice in Shanghai, Pudong New Area fails to show the 'Pudong' brand effect, and some core competencies (diagnosis and treatment capabilities of general practitioners, scientific research and teaching) even shows poor performance. It is necessary to implement hierarchical diagnosis and treatment in the region, complete the performance evaluation of general practice and increase scientific research investment and support. At the same time, attention should be paid to scientific research and teaching and clinical practice, and the balance of the urban and suburb development, so as to comprehensively improve the current poor situation.

     

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