健康乡村背景下北京市郊区家庭医生签约服务开展现状的实证研究

当前,北京市郊区（京郊）家庭医生签约服务缺乏明确具体的法律保障与规范,对中国乡村的特点和乡村医生的作用关注不足,对乡镇卫生院和村卫生室的功能定位和相互作用认识也不够清晰,体现出以乡镇卫生院的全科医生团队为核心、采用“村落承包式”签约方式和通过定时的简单体检和健康讲座来进行健康管理等特点,对签约居民的健康管理效果欠佳。应推进北京市基本医疗卫生立法进程,为京郊家庭医生签约服务提供法律依据,将达到一定条件的乡村医生纳入家庭医生签约团队,合理界定乡村医生和社区医务人员在签约服务中的职能,建立京郊紧密型的家庭医生服务模式。

Empirical Research on Contracted Family Doctor Services in Suburbs of Beijing in the Context of Healthy Rural Strategy

At present,the contracted family doctor services in the suburbs of Beijing lacks clear and specific legal protection. Lack of attention has been paid to the characteristics of rural areas in China and the role of rural doctors.Meanwhile,it does not clearly clarify the role of township health centers and village health clinics,which embodies the poor health management for contracted residents centered by general practitioner teams in township hospitals,featured by the contracting mode of "contracting based on villages" and health management through regular simple physical examination and health lectures.It is necessary to promote legislation process for basic medical and health management in Beijing,so as to provide legal basis for the contracted family doctor services in suburbs of Beijing.Rural doctors who meet certain requirements will be included in the contract team of family doctors,to reasonably define the functions of rural doctors and community medical staff in the contract service and build a close family doctor service model in the suburbs of Beijing.