社区居民与全科医生对家庭医生签约服务的选择偏好  

The choice preferences of community residents and general practitioners for the selection of family doctor contracted services

作　　者：程连 张勇[2] 李媛媛 黄燕飞 李卿慧[3] CHENG Lian;ZHANG Yong;LI Yuanyuan;HUANG Yanfei;LI Qinghui(The Third Clinical Medical College of Ningxia Medical University,Department of General Practice,People's Hospital of Ningxia Hui Autonomous Region(People's Hospital of Ningxia Medical University),Yinchuan,Ningxia 750001,China;不详)

机构地区：[1]宁夏医科大学第三临床医学院,宁夏回族自治区人民医院(宁夏医科大学附属自治区人民医院)全科医学科,宁夏银川750001 [2]宁夏医科大学第二临床医学院,宁夏银川750000 [3]宁夏回族自治区人民医院全科医学科,宁夏银川750001 [4]大鹏新区医疗健康集团,广东深圳528051

出　　处：《中华全科医学》2024年第12期2084-2087,共4页Chinese Journal of General Practice

基　　金：宁夏回族自治区重点研发计划重大专项(2021BEG01001)。

摘　　要：家庭医生签约服务是落实医改政策的体现,是现阶段基层服务的主要模式,是实现健康中国的重要抓手。旨以全科医生为核心,家庭医生团队为支柱,通过签约的方式,促使全科医生与签约居民或家庭建立一种长期、稳定的服务关系,为签约者提供全方位、高质量、便捷化的健康服务,打造家门口的健康服务体系,实现全生命周期的健康管理。尽管家庭医生签约服务总体签约率、知晓率、履约率逐年上升,但由于存在很大的经济、社会、文化、政治等地域差异性,我国部分地区仍处于低知晓率、低签约率、低履约率,另外,由于社区居民与全科医生在家庭医生签约服务中选择偏好的不匹配,导致供需双方对签约服务满意度不高,这可能是目前“为签而签”“签而不约”“伪签约”“服务项目无法落实”等现象的主要原因之一,严重影响服务质量。为更好落实家庭医生签约服务、提高签约服务质量,本文综合分析了社区居民与全科医生对家庭医生签约服务选择偏好的相关研究,探讨了影响供需双方家庭医生签约服务的潜在因素,并提出了相应提升其质量与数量的策略。主要从供需双方的不同视角提供家庭医生签约服务的偏好依据,为进一步推进有效签约及规范履约、提升签约双方满意度、强化签约服务内涵提供参考,以促进家庭医生签约服务高质量发展。The family doctor contracted service is a manifestation of the implementation of health care reform policies,the main mode of grass-roots service at this stage,and an important hand in realizing a healthy China.The aim of family doctor contracted service is to establish a long-term and stable service relationship between general practitioners and contracted residents or families,with a focus on general practitioners and a family doctor team as the pillar.Through signing contracts,we aim to provide comprehensive,high-quality,and convenient health services to contracted individuals,create a health service system at the doorstep,and achieve full lifecycle health management.Although the overall signing rate,knowledge rate,and fulfillment rate of family doctor contracted service have been increasing year by year,there are great geographical differences(such as economy,society,culture,and politics),and some regions of China are still in the low knowledge rate,low signing rate and low fulfillment rate,in addition,due to the mismatch of the selection preferences of the community residents and general practitioners in family doctor contracted service,the low satisfaction of the supply and demand is probably the cause of the current"signing for the sake of signing""signing without contracting""pseudo-signing""service items not being implemented",and so on.There are such phenomena as"signing for the sake of signing""signing but not contracting""pseudo-signing"and"failure to implement service programs",which seriously affect the quality of services.In order to better implement the contracted services of family doctors and improve the quality of contracted services,this paper summarizes the studies on the preference of community residents and general practitioners for contracted services of family doctors,exploring the potential factors affecting the supply and demand of family doctor signing services,proposing corresponding strategies to improve their quality and quantity.and provides the basis for the preference of family d

关 键 词：家庭医生签约服务 社区居民 全科医生 选择偏好 

分 类 号：R499[医药卫生—康复医学] R197.61[医药卫生—临床医学]