Study on the Status and Countermeasures of Service Ability of General Practitioners in Community

2019 
This study tried to carry out a research to learn the current status of urban GPs and the influencing factors so that management strategies are proposed in order to provide guidance for improving the ability of general practitioners and optimizing the quality of community health services. Stratified random cluster sampling was employed to recruit 185 community general practitioners in sample cities among which questionnaires were distributed. Two independent samples t-test, analysis of variance, and multiple linear stepwise regression were used to analyze the datas. Based on the theoretical framework of the Unity Nations Development Programme (UNDP) capability evaluation, we propose measures and suggestions from the system, organization, and individual levels. The capacity of the 35 community-based general practitioners in the five dimensions of the urban community surveyed in this study (35-175 points), and the total score of the community-based general practitioners in the urban community (128.64) 18.958 points, the scores of each dimension are the basic medical service ability (32.02±5.659) points, the public health service ability (39.42±6.923) points, the humanities occupational ability (19.68±2.799) points, and the professional accomplishment (19.31±2.775) points. Scientific research ability (18.20±3.373) points. The results showed that the general service ability of general practitioners, academic qualifications, income satisfaction, and familiarity are the influencing factors which influence the service ability of general practitioners in urban communities. In the future development of the community general practitioner team, it is necessary to clarify the functional orientation of community general practitioners under the hierarchical diagnosis and treatment system, provide multi-level appropriate community general medical services, and comprehensively consider community general practitioners to improve service capabilities. At the level of demand issues, and then based on this development to solve the problem of countermeasures and suggestions.
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