医共体模式下家庭医生签约服务的困境与进路探析
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1.川北医学院基础医学与法医学院;2.川北医学院管理学院

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四川省基层卫生事业发展研究中心科研项目“整合型慢性病管理中利益相关者的演化博弈分析及实证研究”


An Analysis of the Predicament and approach of family doctor contract service under the medical community model
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    摘要:

    家庭医生签约服务和医共体模式不是两项孤立推行的改革制度,而是分级诊疗领域中紧密相扣的两个重要环节,两者目标一致、相辅相成。本文结合安徽、福建、浙江等医共体先行省份的实践经验,发现医共体模式下家庭医生服务团队得以壮大、签约内容得以丰富、能获得更多医保支持以及县域内优质资源。然而,如何促进家庭医生签约服务走深走实,仍然面临着医共体内“人、财、物”利益协同方面的挑战。持续推进医共体建设的过程中,应进一步为家庭医生团队提供资源保障,以医保为杠杆激发家庭医生的服务动力,同时注意防止虹吸。

    Abstract:

    The family doctor contract service and the medical community model are not two reform systems implemented in isolation, but two important links closely linked in the field of graded diagnosis and treatment, with the same goals and complementing each other. Based on the practical experience of Anhui, Fujian, Zhejiang and other leading provinces of medical community, this paper finds that under the medical community model, the service team of family doctors can be expanded, the contract content can be enriched, more medical insurance support can be obtained and high-quality resources within the county can be obtained. In the process of continuously promoting the construction of the medical community, resources should be further provided for the family doctor team, medical insurance should be used as a lever to stimulate the service motivation of family doctors, and attention should be paid to prevent siphoning.

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  • 收稿日期:2024-01-04
  • 最后修改日期:2024-02-03
  • 录用日期:2024-02-05
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