Assessment study on intergration of medical and prevention in general practitioner teams based on patient perception
10.3969/j.issn.1674-2982.2024.07.007
- VernacularTitle:基于患者感知的家庭医生团队医防融合度评价研究
- Author:
Yi-Lin LI
1
,
2
;
Wen-Hui CUI
;
Yu-Chen LONG
;
Hui-Yan FANG
;
Wei-Zhuo CHEN
;
Wen-Qi XIAO
;
Jing CHEN
;
Ting YE
Author Information
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030
2. 湖北省人文社科重点研究基地农村健康服务研究中心 湖北武汉 430030
- Keywords:
Integration of medical and prevention;
Patient perception;
Survey instrument
- From:
Chinese Journal of Health Policy
2024;17(7):51-58
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to develop a validated instrument for assessing the degree of integration perceived by patients in the services provided by general practitioner(GP)teams,and to evaluate the current state of integrated medical-prevention services.Methods:The survey tool was initially created through a review of existing literature and semi-structured interviews.It was subsequently refined and enhanced following consultations with experts.The utility of the instrument was confirmed through empirical research,which also facilitated an analysis of the status quo regarding the integration of medical and prevention services.Results:The devised instrument encompasses 18 items distributed across six dimensions:service comprehensiveness,service continuity,depth of service,continuity of relationship,patient-centricity,and service coordination.The cumulative score reflecting patients'perception of the integration level in GP teams'medical-prevention services was 54.30±12.45.Conclusion:The survey instrument developed in this research is characterized by its rationality,novelty,and practical relevance.It offers a patient-centered perspective for assessing the quality of integrated medical and prevention services for primary chronic diseases.While the overall perception of integration among patients is positive,there is a notable deficiency in the depth of services provided.There is a need for optimization of the service process,clarification of the service path,refinement of service management,and development of an integrated incentive mechanism for medical and preventive care,aiming for a deeper integration between medical services and preventive care.