中文摘要：

目的以镇江市为例，了解镇江市医疗集团模式下社区卫生服务中心患者对医院与社区协作服务的认知评价，为改进当地医院与社区卫生服务中心的协作提供实证决策依据。方法利用随机抽样方法，在江滨医疗集团社区卫生服务中心（简称江滨集团）、康复医疗集团内非紧密型社区卫生服务中心（简称康复集团2）中分别抽取3家社区卫生服务中心；选取康复医疗集团内大港新区2个紧密协作的社区卫生服务中心（简称康复集团1）。采用自行设计的调查问卷对在样本社区卫生服务中心就诊的全部高血压、糖尿病患者进行调查，调查内容包括调查对象的基本情况、对协作服务的认知情况。共发放问卷841份，有效回收841份，有效回收率为100．0％。结果总体上，患者对协作服务的知晓率低，仅为12．7％；有61．5％的患者认为医院与社区卫生服务中心间关于患者的信息交流情况差；只有22．2％的患者认为可以在社区卫生服务中心获得来自医院医生的服务。在协作模式最为紧密的康复集团1中，患者对协作服务知晓率最高，对协作服务连续性及信息交流情况的评价最高，认为在社区获得大医院医生服务的可能性最高，与康复集团2、江滨集团比较，差异有统计学意义（P〈0．05）。结论患者对医院与社区卫生服务中心协作服务的认知及对信息交流情况、服务连续性的评价很低，大多数患者认为无法在社区获得医院下派医生的服务，无法获得医院医生所开药品。建议加强对协作服务的宣传，加大对医院与社区卫生服务机构协作的支持力度，加强信息化建设，建立连续性的医疗服务机制。

英文摘要：

Objective To analyze the cognitive evaluation of collaborative services under medical group model of com- munity and hospital in Zhenjiang City by patients from community health service centers （ CHSCs）, so as to provide evidence ba- sis for local medical service collaboration. Methods A random sapling was used to choose 3 CHSCs from Jiangbin Group and 3 from Rehabilitation Group 2, and 2 from Rehabilitation Group 1 with a close collaboration. A self - designed questionnaire survey was conducted on the patients with hypertension and diabetes mellitus visited in the sample CHSCs, and 841 questionnaires were put out and all the retrieved （ 100. 0% ） were eligible. Results The awareness rate of collaborative services by patients was low- er, only 12.7%. Some 61.5% of the patients held that the information exchange between doctors from hospitals and CHSCs was bad, and only 22. 2% believed that they could get service from medical staff from hospitals in CHSCs. The patients from Rehabili- tation Group 1 with a close collaboration had the highest awareness rate, highest evaluation on the continuity of collaborative serv- ice and information exchange, and highest belief in possibility to get the service in CHSCs by doctors from hospitals, as compared with the patients from Rehabilitation Group 2 and from Jiangbin Group （ P 〈 0. 05 ） . Conclusion The patients have lower aware- ness on the collaborative service and a lower evaluation on the information exchange and continuity of service. Majority of the pa- tients hold that there is no way to get the service and drugs given by doctors from hospitals in CHSCs. It is suggested to promote the popularity of collaborative service, enhance the supporting strength on collaboration between hospital and CHSC, potentiate the information construction, and establish continual medical service system.