Analysis on performance of primary medical service in Zhejiang′s county-level medical alliances from the perspective of supply and demand balance
10.3760/cma.j.cn111325-20200331-00966
- VernacularTitle:供需平衡视角下的浙江省医共体基层医疗服务成效分析
- Author:
Chi ZHOU
1
;
Fang TAN
;
Yingying DU
;
Ping SHAO
;
Yueying CUI
;
Weiting WANG
;
Yuechen WU
;
Min QIAN
;
Jingyi HU
Author Information
1. 杭州师范大学医学院 311121
- From:
Chinese Journal of Hospital Administration
2020;36(7):534-538
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Based on the perspective of supply and demand balance, to analyze the implementation effects of primary-feature medical services measures in medical alliances.Methods:From July to September 2019, two regions with different levels of economic development were chosen, and from each region one leading hospital and two community health service centers/township hospitals were selected from its medical alliance. A total of 213 medical staff and 703 residents were surveyed, to learn their awareness and performance appraisal of these feature services.Frequency and proportion were calculated in a descriptive statistical analysis. The scores of the performance appraisal of both supply and demand sides were tested by independent sample t. Results:In the performance appraisal of such measures, the average scoring by medical staff was 4.39±0.07, and that by residents was 3.85±0.06; the residents were more concerned with service capabilities and contents, while medical staff were more concerned with service content and delivery mode; supply and demand sides were found with consensus in terms of improving the medical service quality of chronic diseases in primary level and service accessibility.Conclusions:The county-level medical alliances should focus on enhancing their capacity of primary medical services, and improving their primary service mode with the help of medical insurance institutions. Meanwhile, it is imperative to optimize the primary medical service policy in view of supply and demand balance.
