上海浦东新区全科医生家庭责任制认同度的实证研究  

GPs family responsibility system in Pudong New Area of Shanghai:An empirical study

作　　者：张波 

机构地区：[1]浦东新区行政学院,上海201210

出　　处：《中国卫生政策研究》2013年第8期53-57,共5页Chinese Journal of Health Policy

基　　金：国家社会科学基金重点项目(09ASH002);上海市委党校系统课题(12S&DX051)

摘　　要：目的:研究浦东全科医生家庭责任制度的认同度及影响因素,为家庭医生制度的进一步推广提供可行性建议。方法:对浦东试点街镇的597例患者和120名医生就全科医生的认同参与情况进行问卷调查。结果:患者和医生对全科医生家庭职责制的认同度普遍不高,仅有50.4%的医生和78.5%的患者支持全科医生制度的推行。全科医生对报酬收入(6.1%)、奖惩制度(16.8%)、福利保障(19.1%)满意度较低,但对领导素质、人际关系和单位管理状况等满意度普遍较高。结论:浦东全科医生的社会认同度、职业认同度明显较低,需要加强舆论宣传引导力度、加大相关配套政策支持力度、加强人才队伍建设和提升全科医生的服务能力,这是进一步推广全科医生责任制的关键和有力保障。Objective： To study the identification and influencing factors of the GPs Family Responsibility System in Pudong New Area of Shanghai, and to suggest feasible ways of further popularizing the system. Methods： 597 patients in Pudong pilot streets/towns and 120 doctors in the GPs Family Responsibility System were surveyed by questionnaire. Results： Recognition of the GPs Family Responsibility System was not high. Only 50.4% of doctors and 78.5% of patients supported the system. In terms of income, the satisfaction level was 6.1%; in terms of rewards and punishments, the satisfaction level was 16.8%; and in terms of social security, the satisfaction level was 191%. These are relatively low satisfaction levels. However, GPs were more satisfied with the quality of leadership, interpersonal relationships, and management. Conclusion： The Pudong GPs social and occupation identification degree was low. Propaganda and relevant supporting policies need to be strengthened, and a talented team needs to be established. The ability of GPs to provide service also needs to be improved.

关 键 词：全科医生 家庭责任制 认同度 浦东 

分 类 号：R197[医药卫生—卫生事业管理]