摘要
本文通过查阅2015年海南省卫生年报,分析基层医疗卫生机构的基本情况,并对海南省家庭医生签约服务的实施现状及尚存问题进行剖析。结果显示,海南省家庭医生签约服务存在政府投入经费较少(2015年为116 835.75万元),全科医生数量(1 020名)缺口较大、收入待遇较低(人均工资性收入56 760.80元)、服务能力有待提高,相关政策支持不足,信息化建设薄弱等问题。借鉴我国其他地区开展家庭医生签约服务的经验,提出相应发展建议,包括:建设家庭医生签约服务"1个契约、3项制度"的制度架构;多部门分工合作、协同推进,建立配套制度;分阶段推进社区首诊,完善双向转诊;大力培养全科医生,提升基层医疗卫生服务能力;建立省级医疗卫生健康网络平台;建立科学的评价体系,保障海南省家庭医生签约服务的有效落实。
From Hainan Health Yearbook 2015,we collected and analyzed the data of general status of grassroots medical institutions in Hainan, and studied the status and challenges in the delivery of family doctors＇ contract-signing services. The challenges in family doctors＇ contract-signing services delivery were summarized as follows： insufficient government investment（ 1 168 357 500 yuan in 2015）; insufficient family doctors（ 1 020 cases）; low salary for family doctors（ per wages income of 56 760. 80 yuan）; unsatisfactory service capabilities of family doctors; insufficient policy support; poor informatization construction and so on. In view of these,based on referring to the experience of other domestic areas in which the service has been offered, we proposed tailor-made solutions： developing a scheme consisting of ＂ one contract and three systems＂; accelerating the service development by multi-departments cooperation and support systems construction; facilitating the community-based first-contact care development and improving the dual referral system in stages; training general practitioners with great efforts and enhancing the service capabilities of grassroots medical institutions; building provincial-level medical and healthcare online platform; establishing a scientific system for the assessment of the service delivery. All these would lead to the effective implementation of the family doctors＇ contact-signing services.
出处
《中国全科医学》
CAS
北大核心
2017年第34期4248-4252,共5页
Chinese General Practice
基金
2016年海南省哲学社会科学规划课题[HNSK(JD)16-13]
关键词
全科医生
签约服务
海南
General practitioners
Contract - signing services
Hainan
