【作者】 刘莉；

【导师】 刘学平； 刘激扬；

【作者基本信息】 中南大学 ， 公共管理硕士（专业学位）， 2022， 硕士

【摘要】 近年来,随着深化医药卫生体制改革的不断深入以及后疫情时代人们对健康的日益关注,家庭医生签约服务逐渐步入公众视野。自2011年开展家庭医生签约服务试点以来,目前我国家庭医生签约服务已覆盖全部34个省级行政区,签约率达到六成,重点人群签约率达到85%。长沙县隶属于湖南省长沙市,于2017年启动了家庭医生签约服务,但目前整体签约率仅五成左右,落后于全国平均水平,同时在推进家庭医生签约服务方面也存在诸多问题。本文以长沙县的社区居民及各级医疗机构的医务人员为研究对象,利用问卷调查和半结构式访谈的方法,通过分析样本数据和访谈记录进行了深入研究,旨在总结目前长沙县家庭医生签约服务的现状并挖掘其中的问题。通过调查研究本文发现,长沙县居民因对家庭医生签约服务不够了解采取观望态度是未签约的主因,且居民享受到的签约服务内容相对片面。同时,长沙县针对家庭医生签约服务所开展的社会宣传活动不足,尤其在年轻群体间未形成有效影响。此外,长沙县的人才引进政策吸引力不足,优秀的全科医生较为匮乏,且对家庭医生团队的管理缺乏合理的薪酬激励。针对以上问题,本文分别从加强社会宣传、医疗资源合理分配、制定完善政策、完善激励机制等方面提出了针对性的对策,分别从理论层面及实践层面为长沙县及同等体量地区的家庭医生签约服务提质增效提供了参考依据。正文共30429字,参考文献69篇更多还原

【Abstract】 In recent years,with the deepening of the reform of the medical and health system and people’s increasing concern for health in the post-epidemic era,the contracted service of family doctors has gradually entered the public eye.Since the pilot project of family doctor contract service was launched in 2011,family doctor contract service has covered all 34 provincial-level administrative regions in China,with the signing rate reaching 60% and the signing rate among key groups reaching 85%.Changsha county,which is part of Changsha city in Hunan Province,started signing up family doctors in 2017,but the overall signing rate is only about 50%,lagging behind the national average,and there are also many problems in promoting signing up family doctors.This paper takes the community residents of Changsha County and the medical staff of medical institutions at all levels as the research object,uses the method of questionnaire survey and semi-structured interview,analyzes the sample data and interview records,and makes an in-depth study,aiming to summarize the current situation of the contracted service of family doctors in Changsha County and dig out the problems.Through investigation and research,it is found that the main reason for residents in Changsha county not to sign the contract is that they do not know enough about the contract service of family doctors and take a wait-and-see attitude,and the contract service content that residents enjoy is relatively one-sided.At the same time,the social publicity activities of family doctor contract service in Changsha county are not enough,especially among the young groups.In addition,the talent introduction policy of Changsha County is not attractive enough,there is a lack of excellent general practitioners,and there is a lack of reasonable salary incentive for the management of family doctor team.In view of the above problems,this paper puts forward targeted countermeasures from the aspects of strengthening social publicity,rational allocation of medical resources,formulating and improving policies,and improving incentive mechanism,and provides reference basis for improving the quality and efficiency of family doctor contract services in Changsha County and other areas of the same volume from the theoretical and practical levels.更多还原