上海市杨浦区全科临床质量控制考核结果分析

蒋伟萍; 陈远虹; 张晓芒; 黄晨; 叶建花; 顾剑飞; 季陈; 沈菲

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

上海市杨浦区全科临床质量控制考核结果分析

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

蒋伟萍¹,
陈远虹²,
张晓芒³,
黄晨⁴,
叶建花⁵,
顾剑飞⁶,
季陈⁷,
沈菲^1, ,

1.
上海市杨浦区殷行社区卫生服务中心, 上海 200438
2.
上海市杨浦区大桥社区卫生服务中心, 上海 200090
3.
上海市杨浦区五角场社区卫生服务中心, 上海 200082
4.
上海市杨浦区定海社区卫生服务中心, 上海 200090
5.
上海市杨浦区长海社区卫生服务中心, 上海 200438
6.
上海市杨浦区江浦社区卫生服务中心, 上海 200092
7.
上海市杨浦区控江社区卫生服务中心, 上海 200093

基金项目:

上海市“医苑新星”青年医学人才培养资助计划项目沪卫计人事[2019]72号

详细信息

通讯作者:
沈菲，E-mail：shenfei818@126.com

中图分类号: R499 R197.323
计量
- 文章访问数: 262
- HTML全文浏览量: 133
- PDF下载量: 4
- 被引次数: 0
出版历程
- 收稿日期: 2021-10-28
- 网络出版日期: 2022-09-21

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

1.
Yinhang Community Health Care Center, Yangppu District, Shanghai 200438, China

摘要

摘要: 目的了解上海市杨浦区全科临床质量控制考核情况, 夯实全科医生队伍及人才建设, 提升全科医生临床能力, 提高全科医疗服务。方法收集2017年11月-2019年11月杨浦区全科临床质量控制小组对12家社区卫生服务中心的考核资料进行回顾性分析, 包括全科临床思维、SOAP病史书写、常规技能操作、心电图读图诊断、X线诊断、常见慢性病管理能力, 研究全科医生配置、全科医生临床能力及全科科研能力等情况。结果 3年内全区每万人口全科医生配置分别为3.34名、3.36名和3.32名; 其中, 中级以上职称占全科医生比例分别为83.12%、88.70%、93.21%;心电图读图诊断能力从5.60分上升至7.67分(标准分为10分); 慢性病管理能力考核得分分别为9.71分、9.90分、10.25分(标准分为15分); 全科科研能力方面, 12家社区卫生服务中心承担市级课题15项、区级课题21项、院校级课题11项, 护理区级课题2项, 康复市级、区级课题各2项, 公共卫生区级课题1项, 其中有2家社区3年内无课题立项。全区每年论文发表数量为50篇左右, 核心期刊比例不足30%。结论全科医生数量相对不足, 临床能力、全科科研能力相对薄弱, 需要进一步努力完善和落实各项全科临床质量控制考核管理制度及相关标准, 积极探索优秀全科医学人才队伍建设和培养, 提高全科医疗水平及科研能力, 担负起居民健康"守门人"的职责。
- 全科临床质量控制考核 /
- 全科医师 /
- 全科临床能力 /
- 全科科研能力
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.
- General clinical quality control assessment /
- General practitioner /
- General clinical ability /
- General scientific research ability

HTML全文

图 1 2017年11月—2019年11月杨浦区全科医生综合服务能力考核分数

Figure 1. Scores of comprehensive service ability assessment of general practitioners in Yangpu District from November 2017 to November 2019

下载: 全尺寸图片幻灯片

图 2 2017年11月—2019年11月杨浦区全科医生SOAP病史书写考核分数

Figure 2. Scores of SOAP history writing examination of general practitioners in Yangpu District from November 2017 to November 2019

下载: 全尺寸图片幻灯片

图 3 2017年11月—2019年11月杨浦区全科医生慢性病管理能力考核分数

Figure 3. Scores of chronic disease management ability assessment of general practitioners in Yangpu District from November 2017 to November 2019

下载: 全尺寸图片幻灯片

表 1 杨浦区全科医生综合服务能力考核内容

Table 1. Comprehensive service ability assessment of general practitioners in Yangpu District

考核项目	考核内容	分值 (分)
临床诊疗技能	临床思维能力	5
	SOAP病史书写	5
临床实践技能	心电图判读	10
	X线判读	5
	全科技能操作(测血压、测血糖、心电图机操作、心肺复苏、换药等，任选一项)	5
慢性病管理能力	常见慢性病管理知识	15

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表 2 杨浦区社区卫生服务中心全科医生配置情况

Table 2. Allocation of general practitioners in community health care centers in Yangpu District

项目	2017年	2018年	2019年
全科医生数(人)	391	407	432
人口数(万)	116.9	121.2	130.1
每万人口全科医生数(人/万)	3.34	3.36	3.32

下载: 导出CSV

表 3 2017年11月—2019年11月杨浦区社区卫生服务中心论文发表情况

Table 3. Published papers in Community Health care centers in Yangpu District from November 2017 to November 2019

项目	2017年	2018年	2019年
发表论文数(篇)	49	54	49
核心期刊数(个)	14	16	11

下载: 导出CSV

表 4 2017年11月—2019年11月杨浦区社区卫生服务中心科研课题立项情况(项)

Table 4. Initiation of Scientific Research Project in Community Health care centers in Yangpu District from November 2017 to November 2019

项目	全科		护理	康复	公卫
项目	西医	中医	护理	康复	公卫
区级课题	10	11	2	2	1
市级课题	7	8	0	2	0
院校级课题	8	3	0	0	0

下载: 导出CSV

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