我国构建家庭医疗签约服务制度的机制探讨

Exploration of Family Doctor Contract Service Mechanism in China

家庭医疗签约服务是创新社区卫生服务模式,推动城乡基本公共卫生服务均等化,为群众提供安全、有效、方便、价廉公共卫生服务和基本医疗服务的重要制度安排。本文分析了我国构建家庭医疗签约服务的必要性,介绍了家庭医疗签约服务的服务内涵、配套措施及尚存问题。提出要加强家庭医生专业人才建设,发挥社区卫生服务信息化建设的契机作用,建立符合实际情况且有效的绩效考核和激励机制。从而为签约居民提供个性化、多样化的健康服务,吸引更多优秀人才担当"健康守门人",同时引导居民理性就医,构建有序、有效、可持续发展的新型医疗服务体系。

Family doctor contract service is an innovative community health service mode promoting the equalization of basic public health services in urban and rural areas,and is also an important institutional arrangement to provide public health services and basic medical services that feature safety, effectiveness, convenience and low expense. The paper analyzed the necessity of family doctor contract service in China, and introduced the content, measures and problems of the service. We suggest that family doctor team should be strengthened and the informatization of community health services should be given full,and an effective performance assessment and incentive mechanism according with real conditions should be established. In this way,contract residents can receive personalized and diversified health services and more talents will be attracted to serve as ＂ health gatekeepers＂,thus the residents will be guided to seek for medical services rationally and a new-type medical service system that features order,effectiveness and sustainable development will be established.