ABSTRACT
Objective To investigate the satisfaction of doctor-patient communication of community health service institutions in Heilongjiang Province and to put forward the proposals for constructing the harmonious doctor-patient relationship.Methods The questionnaire survey method was adopted.The staffs and patients or their family members in partial community health service institutions of Heilongjiang Province served as the research subjects.The survey was conducted by using the two kinds of doctor and patient survey questionnaires.Results The both sides having better evaluation on the current doctor-patient relationship accounted for the majority,which accounted for 44.9 ％ for doctors and 39.3 ％ for patients respectively.The satisfaction degree in the patient side for doctor clearly explaining the disease condition during the doctor-patient communication process,patiently listening and answering questions,providing and explaining many medical regimens and asking for patient's advice on expenses were 20.7 ％,38.9 ％,47.9 ％ and 61.50％ respectively.Conclusion It is suggested to adopt effective measures to improve the satisfaction of doctor-patient communication by aiming at different factors affecting the doctor-patients relationship,including patiently listening,guiding the patient to talk,explaining the provided medical scheme and medical expenses,strengthening the education of humanities and fostering communication skills and so forth.
ABSTRACT
Objective To investigate the satisfaction of doctor-patient communication of community health service institutions in Heilongjiang Province and to put forward the proposals for constructing the harmonious doctor-patient relationship.Methods The questionnaire survey method was adopted.The staffs and patients or their family members in partial community health service institutions of Heilongjiang Province served as the research subjects.The survey was conducted by using the two kinds of doctor and patient survey questionnaires.Results The both sides having better evaluation on the current doctor-patient relationship accounted for the majority,which accounted for 44.9 ％ for doctors and 39.3 ％ for patients respectively.The satisfaction degree in the patient side for doctor clearly explaining the disease condition during the doctor-patient communication process,patiently listening and answering questions,providing and explaining many medical regimens and asking for patient's advice on expenses were 20.7 ％,38.9 ％,47.9 ％ and 61.50％ respectively.Conclusion It is suggested to adopt effective measures to improve the satisfaction of doctor-patient communication by aiming at different factors affecting the doctor-patients relationship,including patiently listening,guiding the patient to talk,explaining the provided medical scheme and medical expenses,strengthening the education of humanities and fostering communication skills and so forth.
ABSTRACT
Community health service institutions are the basic tentacles of medical services which directly indicates their relation to the quality and experience of health service.This paper focuses on the behavioral logic of community health service institutions under the background of new medical reform, and looks forward to a perspective on the grassroots practice caused by the reform of medical system through the behavioral analysis of the community health service institutions.The behavioral logic features of the community health service institutions were constructed based on the interview data Nanjing City using the grounded theory.It was found that the realization of public welfare orientation of the aforesaid institutions needs to be completed under the internal and external coordination.The degree of coordination among the interests, orientation, incentives and resource elements will determine the behavior orientation and basic operational practices in the community health service institutions.This study will provide a reference value for the cognition and optimization of healthcare reform policies.
ABSTRACT
An indexing system is constructed,based on the implementation of prevention and control technology for chronic non-communicable diseases in community health service institutions,using both literature review and Delphi method,and using the Analytic Hierarchy Process (AHP) to calculate the weight of the indexing system.The system comprises three level-1 indexes,8 level-2 indexes and 33 level-3 indexes.The research proposed a transition from emphasis of therapeutic means to prevention,and emphasis on prevention and control technologies to the high-risk population in the prevention and control technology of chronic non-communicable diseases,along with development of techniques and measures to encourage behavioral changes of the population with chronic diseases.
ABSTRACT
The article describes the current situation of training mode of community nurses in community health service institutions in Hubei province from several aspects,including training object,training target,training base,teaching staff,training organization and government,training method and time,training curriculum,training effect evaluation and certification.The article suggests a multitude of factors influencing the training quality,such as formal training,dominant job training,and monotonous community training content and less training time.Overall,the government should be done something to increase government support and funding and accelerate the community nursing services and community nursing education.It is also essential to establish community nursing personnel training mechanism,improve and perfect the community health personnel training system,increase the construction of community nursing practice base and facilities and strengthen clinical practice skills.
