Construction Analysis of the Family Doctor Studio Providing Treatment and Prevention Services from the Aspects of Signing a Contract，Making an Appointment and Implementing an Appointment

doi:10.12114/j.issn.1007-9572.2018.31.008

Abstract

Abstract: Improving the service capabilities to provide high-quality and high-efficient contracted family doctor services for residents，is a critical problem needed to be solved by grassroots medical institutions in China.The family doctor studio，one of the major healthcare suppliers，plays an important role in promoting family doctor services，effectively integrating and utilizing the medical resources within a region，strongly facilitating the implementation of the hierarchical medical system，and improving residents' sense of achieving health benefits and satisfaction with healthcare.Since 2016，Yuzhong District Daxigou Street Community Health Center（located in Chongqing） has been actively exploring the construction of family doctor studios.It has established a type of family doctor studio providing prevention and treatment services，with an emphasis on improving the construction of three aspects（signing a contract，making an appointment and implementing an appointment） associated with the implementation of the contracted family doctor services.Moreover，an effective service delivery mode has been developed by this community health center，which is characterized by "three-designation" （designation of positions，duties and performance assessment criteria），"three-optimization" （optimization of service contents，delivery procedure，and delivery channels），and "two-combination"（delivery of services by general practitioners from the studio in combination with medical experts from municipal level hospitals，and community-based care in combination with municipal level hospital-based telemedicine services）.We detailed the team construction，service contents and delivery modes of this studio，summarized and analyzed the corresponding construction strategies，with a view to offering a reference for the construction of family doctor studios in other regions.

Key words: Contracted services of family doctors, Integration of medical treatment and prevention, Family doctor studio, Construction

摘要： 提高基层医疗卫生服务能力，为居民提供优质、高效的家庭医生签约服务，是目前基层医疗卫生机构需要解决的重点问题之一。家庭医生工作室是推进家庭医生服务的重要形式与载体，可以有效整合区域内医疗资源，更好地促进分级诊疗，同时提高居民的获得感和满意度。重庆市渝中区大溪沟街道社区卫生服务中心自2016年开始积极探索家庭医生工作室建设，紧扣签约服务的“签、约、服”三环节构建医防融合式家庭医生工作室，建立了“三定”（定岗、定任务、定分配）、“三优”（优化服务内容、服务流程、服务渠道）、“两衔接”（全科医生与市级专家、社区卫生与市级医院资源整合衔接）的有效签约服务模式。本文介绍了医防融合式家庭医生工作室的团队建设、服务内容及服务方式，并对其构建策略进行汇总分析，以期为其他地区的家庭医生工作室建设提供参考。

关键词: 家庭医生签约服务, 医防融合, 家庭医生工作室, 构建

ZHONG Yu,LIU Luxia,NIE Xiaoxu, et al. Construction Analysis of the Family Doctor Studio Providing Treatment and Prevention Services from the Aspects of Signing a Contract，Making an Appointment and Implementing an Appointment[J]. Chinese General Practice, 2018, 21(31): 3818-3822. DOI: 10.12114/j.issn.1007-9572.2018.31.008.
钟宇,刘露霞,聂小旭等. 基于“签、约、服”三环节的医防融合式家庭医生工作室构建研究[J]. 中国全科医学, 2018, 21(31): 3818-3822. DOI: 10.12114/j.issn.1007-9572.2018.31.008.

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