Investigation on the cognition of home-visiting service from the perspective of family doctor team members in Beijing

doi:10.3969/j.issn.2096-045X.2022.03.018

Abstract

Abstract: Objective To improve family doctor team home-visiting service system based on Beijing family doctor team members’ opinions of the home-visiting conditions, personnel, procedures and other aspects. Methods A questionnaire survey was conducted among family doctor team members in some community hospitals in three urban areas of Beijing. Results General practitioners, nurses and family doctor assistants had the same cognition. In terms of home-visiting preconditions, 39.45% and 54.13% disagreed with the restriction of patients age and disease type; and 60.55% believed that only patients with severe disability or above could enjoy the home-visiting service. In terms of home-visiting staff, 65.14% of the members agreed that one doctor and one nurse should team up for home visits. In terms of visiting procedures, 43.12% members agreed with the process of “patient application, family doctor review and evaluation, community hospital approval of visiting”. Conclusion It is suggested that relevant government departments should clarify the preconditions for home-visiting patients and focus on taking care of patients over 70 years old who suffer from chronic diseases and severe disabilities. The allocation of home-visiting medical staff shall be determined according to the diagnosis and treatment catalogue and procedure for home-visiting should be standardized and simplified.

Key words: family doctor team, home-visiting service, home-visiting preconditions, visiting personnel, visiting procedure, visiting cognition

CLC Number:

R197.1

Tian Dongdong, Ma Hui. Investigation on the cognition of home-visiting service from the perspective of family doctor team members in Beijing[J]. Medical Education Management, 2022, 8(3): 346-353.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal06.magtechjournal.com/Jwk3_yyyzlt/EN/10.3969/j.issn.2096-045X.2022.03.018

https://journal06.magtechjournal.com/Jwk3_yyyzlt/EN/Y2022/V8/I3/346

References

［1］刘尚昕, 于普林. 人口老龄化对我国健康保健服务体系的挑战与对策［J］. 中华老年医学杂志, 2020, 39(3): 255－258.
［2］郑敏芳, 王馨, 韩林涛, 等. 社区老年人对居家医疗服务需求的调查研究［J］. 中国全科医学, 2013, 16(25): 3012－3014.
［3］赵艳, 孙立贤, 张志军. 北京市丰台区蒲黄榆社区上门服务现状分析［J］. 中国全科医学, 2010, 13(16): 1823－1825.
［4］王存亮, 梁万年, 王亚东, 等. 北京市东城区家庭病床服务现况及建床病人满意度的调查［J］. 中国全科医学, 2005, 8(9): 768－769.
［5］赵建功, 张向东, 王敏, 等. 北京市西城区家庭医生式服务签约居民续约意愿及影响因素研究［J］. 中国全科医学, 2015, 18(28): 3417－3422.
［6］严志兰. 台湾社区居家养老的政策、实践及其启示［J］. 台湾研究, 2013(5): 54－58.
［7］Mittal R, Tan C S, Tham W Y, et al. Trend and predictors of unplanned hospitalization of older patients during the first year after admission into a home medical service［J］. Home Health Care Serv Q, 2017, 36(3/4): 145－163.
［8］Government Benefits. Home based primary care (HBPC)［EB/OL］. ［2021－11－01］. https://www.benefits.gov/benefit/302.
［9］焦淑芳, 尹香君, 王瑜, 等. 北京市城区居民慢性病患病现状及危险因素分析［J］. 中国慢性病预防与控制, 2002, 10(4): 174－176.
［10］熊维芝, 宋丽君, 周桂荣, 等. 北京市 M 区成年人慢性病现状调查［J］. 中国社会医学杂志, 2015, 32(5): 355－357.
［11］王杉, 肖朋, 吴欣, 等. 北京市朝阳区居家慢性病老年人上门医疗护理服务使用及需求现状研究［J］. 护理研究, 2020, 34(6): 1070－1073.
［12］徐美玲, 杨思竞, 吕婷威. 长春市医疗照护保险实施成效与未来展望［J］. 劳动保障世界, 2018(21): 37－38.
［13］Johns Hopkins Medicine. Types of home health care services［EB/OL］. ［2021－11－01］. https://www.hopkinsmedicine.org/health/caregiving/types-of-home-health-care-services.
［14］Fukui S, Yamamoto-Mitani N, Fujita J. Five types of home-visit nursing agencies in Japan based on characteristics of service delivery: cluster analysis of three nationwide surveys［J］. BMC Health Serv Res, 2014, 14: 644.
［15］李念念, 赵敬. 日本区域性综合医护体系下的居家医疗照护一体化［J］. 日语学习与研究, 2019(3): 39－46.
［16］王秋风. 荷兰卫生保健体系与家庭护理简介［J］. 实用护理杂志, 2001, 17(6): 60－61.
［17］王杉, 肖朋, 吴欣, 等. 北京市朝阳区居家慢性病老年人上门医疗护理服务使用及需求现状研究［J］. 护理研究, 2020, 34(6): 1070－1073.
［18］赵辉. 台湾地区长期照护模式对我国的启示［J］. 当代护士(中旬刊), 2015(3): 186－187.
［19］Wong F K Y, Chow S K Y, Chan T M F. Evaluation of a nurse-led disease management programme for chronic kidney disease: a randomized controlled trial［J］. Int J Nurs Stud, 2010, 47(3): 268－278.
［20］Chow S K Y, Wong F K Y. Health-related quality of life in patients undergoing peritoneal dialysis: effects of a nurse-led case management programme［J］. J Adv Nurs, 2010, 66(8): 1780－1792.
［21］Zhao Y, Wong F K Y. Effects of a postdischarge transitional care programme for patients with coronary heart disease in China: a randomised controlled trial［J］. J Clin Nurs, 2009, 18(17): 2444－2455.

[1]	Shi Yunke, Dai Anqi, Zhang Ning. Spatial accessibility analysis of tertiary hospitals in Tongzhou District before and after non-capital functions relief [J]. Medical Education Management, 2022, 8(3): 340-345，353.
[2]	Wang Haomin, Li Xiaoyong. Ending compulsory medical treatment of patients with mental disorders under the background of risk prevention—based on the cognition survey of community prevention psychiatrists [J]. Medical Education Management, 2022, 8(3): 354-360.
[3]	Li Qiuping, Song Jianan, Zhao Tong, Zhang Lin. Strategy analysis of constructing high-level talent team in tertiary public hospitals based on psychological contract theory [J]. Medical Education Management, 2021, 7(3): 331-335.
[4]	Guo Rui, Guan Zhongjun. Problems in improving the public health governance system and governance mechanism [J]. Medical Education Management, 2020, 6(5): 514-518.