中国家庭医生签约服务开展现状及研究进展

Delivery Status of Contractual Services from Family Doctors in China and Advances in the Related Studies

为进一步激活家庭医生签约服务在提升基层医疗卫生服务能力方面的基础性作用,本文分析了我国家庭医生签约服务的开展现状和研究进展,重点从工作资源配置、签约服务内容优化、团队绩效考核机制探索、签约服务医保支付方式转变、签约服务意愿和满意度5个方面进行阐述。虽然目前我国的家庭医生签约服务开展已初见成效,但仍存在医务人员数量相对不足、服务质量有待提高、绩效考核机制不健全、签约服务认可度较低等问题。对此,本文提出要注重基层医务人员队伍建设、完善签约服务激励机制、加强区域医疗服务协同、优化签约服务内涵的对策建议,以期为家庭医生签约服务实践和相关政策的制定提供参考。

In order to further activate the basic role of contractual services from family doctors(CSFD)in improving the service capabilities of grassroots medical institutions,and provide a reference for the delivery of CSFD and formulation and enaction of related policies,we analyzed the current status of delivery CSFD in China and advances in the related studies mainly from 5 aspects(allocation of health resources,optimization of the contractual services,exploration of family doctor team performance evaluation mechanism,changes in mode of paying contractual services by medical insurance,and residents'intention of signing a contact with a family doctor as well as their satisfaction with CSFD),and concluded that although the delivery of CSFD has achieved some fruitful results,relatively insufficient medical professionals,unsatisfactory service quality,unsound performance evaluation mechanism and low residents'recognition of CSFD hinder the further development of CSFD delivery,and based on this,we proposed some suggestions,such as giving priority to the training of primary care providers,perfecting the incentive mechanism for delivering high-quality contractual services,improving the regional coordination in delivering medical services,and optimizing the contractual services.