文章摘要
巫 蓉,侯静静,朱 锦,朱 亚.南京市浦口区家庭医生签约服务调查[J].南京医科大学学报(社会科学版),2019,(2):98~101
南京市浦口区家庭医生签约服务调查
Investigation on the contract service of family doctors in Pukou District, Nanjing City
投稿时间:2019-01-18  
DOI:10.7655/NYDXBSS20190204
中文关键词: 家庭医生  服务履责  协同合作  薪酬改革
英文关键词: family doctor  service responsibility  cooperation  salary reform
基金项目:江苏省哲学社会科学优秀创新团队
作者单位
巫 蓉 南京医科大学健康江苏研究院江苏 南京 211166 
侯静静 南京医科大学健康江苏研究院江苏 南京 211166 
朱 锦 南京医科大学健康江苏研究院江苏 南京 211166 
朱 亚 南京医科大学健康江苏研究院江苏 南京 211166 
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中文摘要:
      定性与定量研究相结合,对南京市浦口区家庭医生团队成员共287人进行问卷调查,对31位关键知情人进行深入访谈。了解南京市浦口区家庭医生团队成员的基本构成、服务能力、收入情况,并对家庭医生签约服务履责的认知情况进行分析,以期为政府部门制定基层卫生人力规划及全面推进家庭医生签约服务提供建议与对策。结果显示,浦口区各社区卫生服务中心都积极建立了家庭医生团队,但仍存在家庭医生服务能力不足、签约服务人员专业多样性不足、待遇不高等问题;家庭医生中绝大多数人对家庭医生签约服务内容了解,支持团队签约方式;专业技术水平有限、工作量增加是家庭医生履行签约服务中遇到的主要困难。开展多渠道专业培训提高家庭医生服务能力;以专业、均衡、多样“标配”家庭医生团队;提高家庭医生收入;建立团队成员分工协调机制等措施可以完善浦口区家庭医生团队建设,增强家庭医生履责信心和推进家庭医生签约服务的进一步开展。
英文摘要:
      Qualitative and quantitative methods were combined to conduct a questionnaire survey on 287 members of the family doctor team in Pukou District within?depth interviews with 31 key informants. This aims of this study is to understand the basic composition, service ability and income of family doctors in Pukou District of Nanjing, as well as the cognition of family doctors’ contracting services, and to formulate grassroots health manpower planning for government departments and comprehensively promote family doctors’ contracting services. Various community health service centers in Pukou District have actively established family doctors’teams, but there are still problems remain such as disqualified family doctors, sub-optimised professional ratio of team structure, and poor income for these medical professions. Most of the family doctors understand the contents of family doctors’ contract services, and they support team contract method, however, their limited professional training background and technical level, in addition to increased service workload are the main difficulties encountered by family doctors in fulfilling contract service. Improvements for family doctor service, professional configuration, team member income, and establishment of team member cooperation mechanism can improve the construction of family doctor team, and also, enhance family doctors’ confidence and promote family doctor contract service in whole.
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