乡村医生签约服务实践研究.pdfVIP

中国卫生事业管理2014年第11期(总第317期) 木 乡村医生签约服务实践研究 荆媛，景琳△，潘字佳，李家伟，李娇月 (成都中医药大学，四川成都611137) [摘要] 目的：了解乡村医生签约服务试点现状及工作中的经验与困难，分析问题提出建议。方法：访谈法、现场调 查。结果：乡村医生签约服务工作顺利推行，并以重点人群为首要签约对象针对性的开展服务，取得一定的效果；但签约 工作形式大于内容，村医工作量和待遇存在矛盾，村医能力与工作要求存在矛盾制约着乡村医生签约服务工作的可持续 发展。建议：加强宣传、丰富载体，使签约做真做实；加大投入并探索对乡村医生的支付方式，让履约得到保障；多举并措 提升村级医疗服务能力，保证签约服务质量。 [关键词] 乡村医生；签约服务；激励机制 195 [中图分类号]R197．1；R [文献标识码]A [文章编号] DoctorContract a1．／／TheChineseHealthService ResearchingVillage Service．／JingYuan，et Management． Abstract To the of doctorcontractservicein and Objective investigateimplementationvillage pilotareas，analyzeproblems forward Interviewandsite wereused．ResultsContractserviceworkhasbeencarriedout put suggestions．Methods investigation andobtained formandcontentofcontractserviceisimbalanced．Therearetwocontradictions smoothly achievements；however，the thesustainable of doctorcontract firstisthattreatmentisnot workloadsof restricting developmentvillage service，the equal village secondis isnot to the and carriersmakethework doctors；the ability up work．SuggestionsStrengtheningpropagandaenriching gen— investmentand doctor modemakesthe becarried measures uine．Increasing exploring agreement viRage payment out．Multiple shouldbe to themralmedicalservicelevel．and the ofcontractservice． appliedimprove guaranteequality Author7saddress ofTraditionalChinese