关于做实做细家庭医生签约服务的实践与思考

为响应国家进一步推进落实家庭医生签约服务工作，上海市浦东新区潍坊社区卫生服务中心在做实做细的前提下提升签约居民数量，通过推行并落实一系列做实做细的措施，使签约对象的预约门诊到位率、签约对象中健康管理人群的定诊率、健康档案更新及时率以及签约对象对签约服务、全科医生满意度显著提高，让社区居民真正获益。目前家庭医生签约服务尚有一些问题与困惑有待解决，做实精细化管理服务任重道远。本文就做实做细家庭医生签约服务的实践进行总结，对出现的一些问题进行分析与思考。

Reflection on the Delivery of Contracted Family Doctor Services with Careful and Down-to-earth Efforts

In response to the call of the national government for further promoting contracted family doctor services（CFDSs），Shanghai Pudong New District Weifang Community Health Center focuses on increasing the number of residents access to CFDSs by a series of measures besides delivering the services with careful and down-to-earth efforts，which brings about significantly enhanced rates of implementing outpatient appointments and making stable visits for obtaining health management，and substantially improved levels of satisfaction with both CFDSs and general practitioners in the contracted residents，as well as an obviously increased rate of their health records being timely updated，truly benefitting the residents.However，further improvement remains an arduous task for us for there are challenges and baffles during the delivery of such services.We summarized our experience of delivering CFDSs，and gave a detailed analysis of the encountered problems and baffles.