我国家庭医生签约服务发展的现状分析.docVIP

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我国家庭医生签约服务发展的现状分析.doc

我国家庭医生签约服务发展的现状分析

我国家庭医生签约服务发展的现状分析   [摘要] 开展家庭医生签约服务是我国医改中的一项重要举措,对于实现基层首诊、分级诊疗,转变医疗卫生服务模式具有重要意义。本文对我国家庭医生签约服务发展的政策和历史进程进行梳理,从家庭医生签约服务的覆盖情况、服务内容和家庭医生团队配置及管理方式三个角度分析我国家庭医生签约服务发展现状,最后提出了探索符合居民需求的签约服务内容和加强家庭医生团队建设管理等建议。为探索符合居民需求的签约服务模式,建立家庭医生签约服务制度提供参考。   [关键词] 家庭医生;签约服务;政策;分级诊疗   [中?D分类号] R197.1 [文献标识码] A [文章编号] 1673-7210(2017)09(b)-0169-04   An analysis of development status of family doctors contract service in China   SHEN Pengyue LIU Xiaoshan LI Ruifeng   College of Management, Beijing University of Chinese Medicine, Beijing 100029, China   [Abstract] Carrying out the contract service of family doctor is an important measure in Chinas medical system reform, which is of great significance to realize the first-class diagnosis, hierarchical medical and change the mode of medical and health services. This article combs the policy documents and the historical process of the development of the contract service of the family doctor, and analyzes the current situation of family doctors contract service from three aspects of the coverage of family doctors contract service, the service content and the arrangement and management of the family doctor. Finally, this article puts forward suggestions such as exploring the contract service contents in line with the needs of residents and strengthening the construction and management of family doctors. To explore the service model that meets the needs of the residents, for establishing the family doctors contract service system to provide a reference.   [Key words] Family doctor; Contract service; Policy; Hierarchical medical   2016年6月,国务院医改办、国家卫生计生委等七部门联合出台《关于推进家庭医生签约服务的指导意见》(国医改办发[2016]1号),为家庭医生签约服务发展明确了目标,家庭医生签约服务上升到国家战略层面[1-2],作为分级诊疗的关键点,家庭医生签约服务是落实医改政策的体现,是基层服务模式的转变。而我国家庭医生签约服务正处于探索阶段,各地差异化较大[3],不利于形成统一的规范化家庭医生签约服务制度。为此,本文对我国家庭医生签约服务发展的政策和历史进程进行梳理,从家庭医生签约服务的覆盖情况、服务内容和家庭医生团队配置及管理方式三个角度分析我国家庭医生签约服务发展现状,为我国家庭医生签约服务的推广提供依据,为建立统一的家庭医生制度提供政策建议,为实行分级诊疗打好基础。   1 我国家庭医生签约服务发展现状   1.1 我国家庭医生签约服务探索阶段   早在2006年《国务院关于发展城市卫生服务的指导意见》(国发[2006]10

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