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目的了解北京市大医院支援医生对支援社区卫生服务的意愿,评估对口支援社区卫生服务工作的实施情况及存在问题。方法采用问卷调查和个人深入访谈相结合的方法,于2008年1月对北京市118名已支援过社区的支援医生进行问卷调查,对2名大医院支援医生、2名三级医院对口支援工作负责人、2名社区卫生服务管理中心工作人员进行个人深入访谈。结果62.9%的支援医生表示愿意到社区提供出诊或其他服务,90.5%的支援医生表示愿意带教社区医生。结论支援医生对到社区提供服务还存在一定的认识阻力,相关部门需积极挖掘大医院支援社区的动力,完善利益协调和监督管理的长效机制。
Objective To understand the willingness of doctors in Beijing’s major hospitals to support community health services and evaluate the implementation and problems of counterpart support for community health services. Methods A questionnaire survey and personal in-depth interviews were used to conduct a questionnaire survey on 118 supportive doctors in Beijing who supported the community in January 2008. Two major hospitals supported doctors and two tertiary hospitals. Responsible person, two community health service management center staff in-depth personal interviews. Results 62.9% of supportive doctors said they were willing to provide community visits or other services, and 90.5% of supportive doctors said they were willing to teach community doctors. Conclusion Support for doctors to provide services to the community there is still some resistance to understanding, the relevant departments should actively tap the motivation of large hospitals to support the community and improve the long-term mechanism for the coordination of interests and supervision and management.