Analysis of Contracted Family Doctor Services in China：from the Perspective of Lateral Contrast and Dynamic Development

doi:10.12114/j.issn.1007-9572.2018.00.281

Abstract

Abstract: According to Statistical Yearbooks and literatures，this paper collected and integrated relevant information about the coverage rate，number of contracted residents and other indexes of family doctors in eastern regions （Beijing，Shanghai，Shandong，etc.） and western regions （Sichuan，Shaanxi，Qinghai，etc.）．By analyzing the development of contracted family doctor system in China based on the horizontal contrast and dynamic perspective，this study found that the signing rate of family doctors in each region basically reached the expected goal.However，there were still some problems in practice，such as unbalanced supply and demand，low awareness，unclear positioning and insufficient capital investment of signing system.As a whole，the level of contracted family doctor service in the economic developed areas in eastern China was better than that in the economically backward areas in western China.Besides，Shanghai and Shandong performed the best in the economic developed regions in eastern China.Qinghai and Sichuan performed the best in the economically backward regions in western China.Therefore，the paper puts forward suggestions of learning from Best-Performing provinces to strengthen incentive mechanism，and increase capital investment based on the perspective of lateral contrast and dynamic development.

Key words: Family practice, Family doctors contract service, Community health services

摘要： 本文通过文献查阅及整合相关统计年鉴信息，基于我国东部地区（北京、上海、山东等地）与西部地区（四川、陕西、青海等地）家庭医生的覆盖率、签约数等指标，横向对比分类区域之间家庭医生签约服务实施情况，分析家庭医生签约制度在我国的发展现况，发现各地区的家庭医生签约率基本达到预期目标，但实行中仍存在人员供需不平衡、对签约服务制度的认知度不够、定位不清、资金投入不足等问题。且就整体而言，东部地区的家庭医生签约服务优于西部地区；就个体而言，东部地区以上海、山东最优，推行该制度的年限长，覆盖率广；西部地区以青海、四川最优。因此提出应向“家优”省市学习、加强激励机制、增加资金投入等动态管理、系统推进的政策建议。

关键词: 家庭医学, 家庭医生签约服务, 社区卫生服务

LI Tong,ZHU Jiwu,ZHANG Qiu. Analysis of Contracted Family Doctor Services in China：from the Perspective of Lateral Contrast and Dynamic Development[J]. Chinese General Practice, 2018, 21(33): 4041-4046. DOI: 10.12114/j.issn.1007-9572.2018.00.281.
李彤,朱继武,张秋. 我国家庭医生签约服务的分析——基于横向对比与动态发展的视角[J]. 中国全科医学, 2018, 21(33): 4041-4046. DOI: 10.12114/j.issn.1007-9572.2018.00.281.

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