Effects of Quality Control Circle on Enhancing the Adhesion between Community Elderly People and Contracted Family Doctors

doi:10.12114/j.issn.1007-9572.2019.00.694

Abstract

Abstract: Background　The elderly are the key groups of contracted family doctor services.However，due to the insufficient number of family doctors，the lack of health awareness of the elderly，and the attention paid by community health service institutions to the number of services，there is a phenomenon of "signing but not signing".Objective　To explore the role of quality control circle（QCC） activities in improving the adhesion between community elderly people and contracted family doctors.Methods　A QCC of family doctors was established with the theme "improving the adhesion between the elderly and contracted family doctors" and its activities according to the steps of QCC were implemented.A total of 100 contracted elderly people received the contracted family doctor services were surveyed via telephone survey before and after the QCC activities about telephone consultation，outpatient treatment，hospitalization，physical examination and door-to-door service，so as to reflect the cohesion between the elderly and contracted family doctors by the proportion of the elderly who had received any services among all the elderly people.Results　The adhesion degree after the implementation of QCC activities（67.0%） between the elderly people and contracted family doctors was significantly higher than that before the activities（35.0%）（P<0.05）.The target compliance rate was 87.2% and the progress rate was 49.2%.Conclusion　QCC activities can significantly improve the adhesion between community elderly people and contracted family doctors，improve the awareness and utilization rate of contracted family doctor services，and promote the relationship between community elderly people and family doctors，which could lay the foundation for hierarchical diagnosis and treatment.

Key words: Contracted family doctor services, Quality control circle, Aged, Family doctor, Adhesion

摘要： 背景　老年人是家庭医生签约服务的重点人群，但是由于家庭医生数量不足、老年人健康意识不够、社区卫生服务机构只重视服务数量等，出现了“签而不约”的现象。目的　探讨品管圈活动对提升社区老年人与签约家庭医生黏合度的效果。方法　2018年4—10月，成立品管圈“家医圈”，确定主题为“提高老年人与签约家庭医生的黏合度”，按品管圈活动的步骤实施各项活动。通过电话调查活动前后100名签约老年人在电话咨询、门诊就诊、住院、健康体检、上门服务方面接受签约家庭医生服务情况，以接受过任一服务老年人在所有老年人中的占比来反映老年人与签约家庭医生的黏合度。结果　实施品管圈活动后老年人与签约家庭医生黏合度（67.0%）明显高于活动前（35.0%），差异有统计学意义（P<0.05）；目标达标率为87.2%，进步率为49.2%。结论　品管圈活动能明显提高社区老年人与签约家庭医生的黏合度，提高家庭医生签约服务的知晓率和利用率，促进社区老年人与家庭医生之间的关系，为分级诊疗奠定基础。

关键词: 家庭医生签约服务, 品管圈, 老年人, 家庭医生, 黏合度

WANG Daoqiong,BAI Yan. Effects of Quality Control Circle on Enhancing the Adhesion between Community Elderly People and Contracted Family Doctors　[J]. Chinese General Practice, 2020, 23(10): 1243-1247. DOI: 10.12114/j.issn.1007-9572.2019.00.694.
汪道琼,白艳. 品管圈提高社区老年人与签约家庭医生黏合度的效果研究[J]. 中国全科医学, 2020, 23(10): 1243-1247. DOI: 10.12114/j.issn.1007-9572.2019.00.694.

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