Volume 20 Issue 6
Jun.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 1000-1002
JIANG Wei-ping, CHEN Yuan-hong, ZHANG Xiao-mang, HUANG Chen, YE Jian-hua, GU Jian-fei, JI Chen, SHEN Fei. Analysis of assessment results of general practice clinical quality control in Yangpu District, Shanghai[J]. Chinese Journal of General Practice, 2022, 20(6): 1000-1002. doi: 10.16766/j.cnki.issn.1674-4152.002509
Citation: JIANG Wei-ping, CHEN Yuan-hong, ZHANG Xiao-mang, HUANG Chen, YE Jian-hua, GU Jian-fei, JI Chen, SHEN Fei. Analysis of assessment results of general practice clinical quality control in Yangpu District, Shanghai[J]. Chinese Journal of General Practice, 2022, 20(6): 1000-1002. doi: 10.16766/j.cnki.issn.1674-4152.002509
shu

Analysis of assessment results of general practice clinical quality control in Yangpu District, Shanghai

doi: 10.16766/j.cnki.issn.1674-4152.002509
  • 1.

    Yinhang Community Health Care Center, Yangppu District, Shanghai 200438, China

Funds:

 沪卫计人事[2019]72号

  • Received Date: 2021-10-28
    Available Online: 2022-09-21
    Abstract
  •   Objective  To understand the assessment results of general practice clinical quality control in Yangpu District, Shanghai, consolidate the team of general practitioners and talent construction, improve the clinical ability of general practitioners, enhance general medical services.  Methods  The assessment data of 12 community health service centers in Yangpu District from November 2017 to November 2019 were collected, including general practice clinical thinking, SOAP (Subjective Objective Assessment Plan) medical history writing, routine skill operation, electrocardiogram reading diagnosis, X-ray diagnosis, common chronic disease management capabilities, the configuration of general practitioners, clinical capabilities of general practitioners, and general medical research capabilities.  Results  The number of general practitioners per 10 000 population in the district was 3.34, 3.36, and 3.32 in the three years.Among them, the proportion of general practitioners with intermediate titles and above was 83.12%, 88.70%, and 93.21%, respectively.The electrocardiogram reading and diagnosis ability score was 5.60 rose to 7.67(standard score of 10).Chronic disease management ability assessment scores were 9.71, 9.90, and 10.25(standard score of 15), respectively.In terms of general scientific research capabilities: 12 community health service centers undertook 15 municipal-level projects, 21 district-level projects, 11 college-level projects, 2 nursing district-level projects, 2 city-level and district-level projects for rehabilitation, 1 district-level public health projects, and 2 of them had no community-level projects within 3 years.About 50 papers were published each year, and the proportion of the core information science periodicals was less than 30%.  Conclusion  The number of general practitioners is relatively insufficient, and the clinical capabilities and general practice research capabilities are relatively weak.It is necessary to further improve and implement various general practice clinical quality control assessment and management systems and related standards, actively explore the construction and training of excellent general practice talents, improve the level of general medical care and scientific research capabilities, and assume the responsibility of the"gatekeeper"of residents'health.

     

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    • References(18)
  • [1]
    国务院办公厅. 关于改革完善全科医生培养与使用激励机制的意见[EB/OL]. (2018-01-14)[2021-06-05]. http://www.gov.cn/zhengce/content/2018-01/24/content_5260073.htm.

    General Office of the State Council. Suggestions on reforming and improving the incentive mechanism for training and use of general practitioners[EB/OL]. (2018-01-14)[2021-06-05]. http://www.gov.cn/zhengce/content/2018-01/24/content_5260073.htm.
    [2]
    刘玲, 方金鸣, 彭义香. 全科医生岗位胜任力模型及理论的研究进展[J]. 中国临床研究, 2021, 34(11): 1565-1568. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202111030.htm

    LIU L, FANG J M, PENG Y X. The research progress of the competency model and theory of general practitioners[J]. Chinese Journal of Clinical Research, 2021, 34(11): 1565-1568. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202111030.htm
    [3]
    钱宁. 社区开展全科教学师资培养的SWOT分析与对策[J]. 医学信息, 2017, 30(8): 19-21.

    QIAN N. SWOT analysis and countermeasures on the training of general education teachers in communities[J]. Medical Information, 2017, 30(8): 19-21.
    [4]
    朱露, 任文, 任菁菁. 浙江省双向转诊现状及问题分析[J]. 全科医学临床与教育, 2017, 15(2): 175-177. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYL201702016.htm

    ZHU L, REN W, REN J J. Situation and problems analysis on the dual referral in Zhejiang province[J]. Clinical Education of General Practice, 2017, 15(2): 175-177. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYL201702016.htm
    [5]
    杨蓉, 方宁远, 金花, 等. 上海市全科医生对专科疾病的诊疗现状研究[J]. 中华全科医学, 2020, 18(8): 1251-1255. doi: 10.16766/j.cnki.issn.1674-4152.001478

    YANG R, FANG N Y, JIN H, et al. Study on the current situation of the diagnosis and treatment of specialist diseases by general practitioners in Shanghai[J]. Chinese Journal of General Practice, 2020, 18(8): 1251-1255. doi: 10.16766/j.cnki.issn.1674-4152.001478
    [6]
    张丹, 顾卫东. 提高基层医疗卫生服务能力和质量, 做实家庭医生签约服务[J]. 中国卫生产业, 2018, 15(27): 87-89. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201827041.htm

    ZHANG D, GU W D. Improving the primary medical health service ability and quality and make the contracting service of family doctors real[J]. China Health Industry, 2018, 15(27): 87-89. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201827041.htm
    [7]
    杨辉, 韩建军, 许岩丽. 中国全科医生队伍建设的发展、挑战与展望[J]. 中国全科医学, 2019, 22(19): 2267-2279. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201919004.htm

    YANG H, HAN J J, XU Y L. General practice workforce in China: Development, challenges and outlooks[J]. Chinese General Practice, 2019, 22(19): 2267-2279. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201919004.htm
    [8]
    上海市卫生健康委员会. 上海市人民政府办公厅印发《关于本市改革完善全科医生培养与使用激励机制的实施意见》的通知[EB/OL]. (2019-01-24)[2021-06-05]. http://wsjkw.sh.gov.cn/sh1/20190201/63213.html.

    Shanghai Municipal Health Commission. The General Office of the Shanghai Municipal People ' s Government issued the notice of "Implementation Opinions on the Reform and Improvement of the Incentive Mechanism for Training and Use of General Practitioners in Shanghai"[EB/OL]. (2019-01-24)[2021-06-05]. http://wsjkw.sh.gov.cn/sh1/20190201/63213.html.
    [9]
    崔传霞, 孙斌, 唐立岷. 我国全科医生队伍发展现状及问题分析[J]. 中国卫生产业, 2017, 14(19): 139-141. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201719064.htm

    CUI C X, SUN B, TANG L M. Analysis of development status and problems of general practitioner team in our country[J]. China Health Industry, 2017, 14(19): 139-141. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201719064.htm
    [10]
    邓婧, 周宪春. 全科医生岗位胜任力评价指标体系的构建研究[J]. 中国老年学杂志, 2020, 40(5): 1095-1100. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201701008.htm

    DENG J, ZHOU X C. Research on the construction of evaluation index system of general practitioner post competency[J]. Chinese Journal of Gerontology, 2020, 40(5): 1095-1100. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201701008.htm
    [11]
    杨慧敏, 尹德卢, 辛倩倩, 等. 我国基层全科医生队伍现状和继续医学教育内容需求分析[J]. 中华全科医学, 2018, 16(10): 1591-1594. doi: 10.16766/j.cnki.issn.1674-4152.000433

    YANG H M, YIN D L, XIN Q Q, et al. Current situation of primary general practitioners and demand on continuing medical education content in China [J]. Chinese Journal of General Practice, 2018, 16(10): 1591-1594. doi: 10.16766/j.cnki.issn.1674-4152.000433
    [12]
    喻雪双, 何文翀, 屈伟袁, 等. 国内外全科医生岗位胜任力影响因素对比及启示[J]. 现代预防医学, 2018, 45(3): 467-470, 495. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202005065.htm

    YU X S, HE W C, QU W Y, et al. Comparative and enlightenment study on influencing factors of post competency of General practitioners at home and abroad[J]. Modern Preventive Medicine, 2018, 45(3): 467-470, 495. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ202005065.htm
    [13]
    冯宪真, 沈啸翼, 丁晶晶, 等. 社区-综合性医院二级全科医生管理多病共存慢性病的效果[J]. 中国临床保健杂志, 2019, 22(4): 447-450. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ201904006.htm

    FENG X Z, SHEN X Y, DING J J, et al. To explore the effect of two-level general practitioner's management on the patients with multiple chronic non-communicable diseases in community-general hospitals under the graded diagnosis and treatment model[J]. Chinese Journal of Clinical Healthcare, 2019, 22(4): 447-450. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ201904006.htm
    [14]
    徐仲卿, 施丹丹, 雍刚, 等. 社区管理层视角下的全科医生能力现状评价与培养需求调查[J]. 中华全科医师杂志, 2020, 19(6): 522-527.

    XU Z Q, SHI D D, YONG G, et al. Survey on competence and training needs of general practitioners from perspective of community health service institution managers[J]. Chinese Journal of General Practitioners, 2020, 19(6): 522-527.
    [15]
    赵欣欣, 李觉, 吴恒璟. 社区全科医生科研培养路径的实践与思考[J]. 中华全科医学, 2019, 17(12): 1979-1981, 2091. doi: 10.16766/j.cnki.issn.1674-4152.001107

    ZHAO X X, L J, WU H J. Practice and reflection on the scientific research cultivate pathway of general practitioner in community[J]. Chinese Journal of General Practice, 2019, 17(12): 1979-1981, 2091. doi: 10.16766/j.cnki.issn.1674-4152.001107
    [16]
    李觅琼, 史玲, 沈丽萍, 等. 社区卫生服务中心科研意识与需求问卷调查分析[J]. 上海医药, 2017, 38(8): 17-20, 59. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY201708008.htm

    LI M Q, SHI L, SHEN L P, et al. Investigation and analysis of the scientific research consciousness and demand in the community health service center[J]. Shanghai Medical & Pharmaceutical Journal, 2017, 38(8): 17-20, 59. https://www.cnki.com.cn/Article/CJFDTOTAL-SYIY201708008.htm
    [17]
    李智莉, 葛彩英, 赵新颖, 等. 全科医师科研能力的现状、存在问题和对策分析[J]. 继续医学教育, 2020, 34(4): 51-53. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJY202004028.htm

    LI Z L, GE C Y, ZHAO X Y, et al. Present Situationt, the Existing Problems and Countermeasures on the Scientific Research Abilities of General Practitioners[J]. Continuing Medical Education, 2020, 34(4): 51-53. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJY202004028.htm
    [18]
    张丽丽, 周蓉, 张勘. 上海市全科医师规范化培训工作模式及成效[J]. 中华全科医师杂志, 2018, 17(6): 494-496.

    ZHANG L L, ZHOU R, ZHANG K. Mode of general practitioner training and its accomplishment in Shanghai[J]. Chinese JOurnal of General Practitioners, 2018, 17(6): 494-496.
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