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家庭医生团队建设现状与问题研究

Family doctor team development: a status quo and problem investigation
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摘要 目的了解浦口区家庭医生团队建设情况,为浦口区全面推进家庭医生签约制度和家庭医生队伍建设提供依据和建议。方法对浦口区11个社区卫生服务中心和其家庭医生团队成员进行问卷调查,此外,抽取了部分管理人员和家庭医生进行深入访谈。结果目前,浦口区各个社区卫生服务中心都积极建立家庭医生团队,但仍存在全科医生数量不足,在区内分布不合理、专业结构不合理、专业技术能力不高和收入不高等问题。结论建立就业导向政策、优化家庭医生团队专业构成、进行多种形式的继续教育、提高家庭医生的待遇可以促进浦口区家庭医生团队建设,从而提高家庭医生队伍的服务能力,更好履行其健康"守门人"的职责,推进分级诊疗制度的建立。 Objective To explore the development of the family doctor team in Pukou District of Nanjing,and to provide evidence and suggestions for comprehensively promoting the family doctor contract system and family doctor team development in Pukou District. Methods A questionnaire survey was conducted among 11 community health service centers in Pukou District and members of their family doctor team. Additionally,some administrative staff members and family doctors were selected for in-depth interviews. Results At present,various community health service centers in Pukou District have actively formed family doctor teams,but there are still problems such as insufficient number of general practitioners,unreasonable distribution in the district,unreasonable professional structure,low professional and technical ability,and low income. Conclusions Making employment-oriented policies,optimizing the professional composition of family doctors,carrying out various forms of continuing education,and improving the income of family doctors can promote the development of family doctor teams in Pukou District,so as to improve the service of family doctor teams for better fulfilling their responsibility for guarding health and further promotion of tiered diagnosis and treatment system.
作者 邵高蔚 袁颖 杨斯曼 周国梁 孙振宇 陆正轩 文孜拉 吴佳琪 徐嘉宁 胡丹 陈家应 SHAO Gaowei;YUAN Ying;YANG Siman;ZHOU Guoliang;SUN Zhengyu;LU Zhengxuan;WEN Zila;WU Jiaqi;XU Jianing;HU Dan;CHEN Jiaying(School of Health Policy and Managenient, Nanjing Medical University, Nanjing, Jiangsu 211166,China;Research Institute of Healthy Jiangsu,Nanjing Medical University,Nanjing,Jiangsu 211166,China)
出处 《中国农村卫生事业管理》 2019年第4期241-245,共5页 Chinese Rural Health Service Administration
基金 国家自然科学基金(71874087).
关键词 家庭医生 团队 分级诊疗 签约服务 策略研究 Family doctor Team Tiered diagnosis and treatment contract service strategy study
作者简介 邵高蔚(1998-),女,江苏海安县人,本科在读,E-mail:sgw_wendy@163.com;通信作者:胡丹(1988-),女,实验师,主要研究方向:卫生政策与卫生服务,E-mail:hudan@njmu.edu.cn.
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