家庭医生助理制度下社区基本公共卫生服务的成本效益分析——以上海市闵行华漕社区为例

Cost-benefit analysis of the community basic public health services in general practitioner assistant system

目的:探索家庭医生责任制下,建立家庭医生助理制度对社区基本公共卫生服务项目的成本与效益影响。方法:统计在实施家庭医生助理制度,采用专职助理服务模式后2014年1-6月的社区基本公共卫生服务的成本和效益;估算在产生的经济效益基本相同的情况下,采用非专职助理服务模式的基础公共卫生服务成本,比较两种模式下成本和效益;采用自制的开放式问卷,了解医务人员对助理工作的评价,分析助理制度带来的间接效益。结果:家庭医生助理制度实施后,社区基本公共卫生服务的成本下降,直接和间接效益均有提高。结论:家庭医生助理制度的实施节约了绩效成本,减轻了全科医师的负担,有助于家庭医生团队的建设与完善、人员关系的改善与整合,以及病人满意度的提升。

Objective To explore the influence of general practitioner assistant system on the cost-benefit of community basic public health services. Methods The cost and benefit of community basic public health services in full-time assistant services mode from Jan. to Jun. in 2014 were analyzed. And the cost in non-full-time assistant services mode for the same benefit was estimated.Medical staffs were surveyed with questionnaires. Results After the implementation of general practitioner assistant system,the cost of community basic public health service had reduced,while its direct and indirect benefits had increased. Conclusion The general practitioner assistant system can save the performance cost,reduce the burden of general practitioner and improve the team construction of general practitioners and patients＇ satisfaction.