我国基层医生组织管理和服务协调能力现状研究OA

Objective To explore the status quo of the organizational management and service coordination capacity of primary care physicians in China,and to analyze the reasons for differences and improvement strate-gies.Methods Based on the survey results conducted by the research group from July to August 2020 in four provinces and one municipality on the capacity of primary care physicians,SPSS 27.0 was used for data collation and analysis.The Chi-square test was employed,and the Bonferroni method was used to adjust the test signifi-cance level for pairwise comparisons among multiple groups to compare the differences in the organizational man-agement and service coordination skills of primary care physicians at the levels of institutions and regions.Results Totally 8 469 primary care physicians were surveyed.The possession rates of five capabilities(work and coordi-nation,team service,communication,policy interpretation and publicity,and rational use of community re-sources)were 97.1％,96.3％,97.3％,93.5％,and 89.7％,respectively.Primary care physicians in rural areas demonstrated higher possession rates across five capabilities compared to those in urban areas(P＜0.05).The rates of physicians in the central region was higher than those in the eastern and western regions(P＜0.017).Primary care physicians in community health service stations and village clinics had higher rates of all capabilities than those in community health service centers and township health centers(P＜0.05).Conclusions There is a shortage of high-quality personnel in China's primary care physician team.The abilities of policy interpretation and publicity,and rational use of community resources still need to be strengthened.The overall rate of primary care physicians' organizational management and service coordination capacity in western regions,urban areas,and higher-level primary care institutions is relatively low.It is necessary to establish a cross-departmental cooperation mechanism,strengthen special training and optimize its formats,design evaluation indicators to incorporate into performance evaluation system,comprehensively enhancing primary care physicians' organizational management and service coordination capacity.