基于供需视角的中国家庭医生签约服务研究进展

实行家庭医生签约服务是推动分级诊疗的重要手段，是深化医药卫生体制改革的重要任务，也是新形势下更好维护人民群众健康的重要途径。本文从供需角度阐述我国家庭医生签约服务的研究现状，分析研究过程中存在的问题，并提出未来的研究方向与政策建议。目前需方研究多集中于家庭医生签约服务现状、知晓率、签约（续签）率和意愿、满意度等方面；供方研究多集中于签约服务主体（家庭医生团队构成）、激励机制、培养和教育、家庭医生工作满意度等方面。家庭医生签约服务的效果评估多基于需方角度。对此本文认为从供方研究我国家庭医生签约服务的实证研究缺乏，完善家庭医生激励机制和团队构成、加强家庭医生队伍培养和教育等举措对于进一步推动我国家庭医生签约服务尤为重要。

Advances in Supply-demand Study of Contracted Family Doctor Services in China

The implementation of contracted family doctor services is an important means to promote the development of hierarchical medical system，an important task to deepen the reform of pharmaceutical and healthcare system，and a key way to better safeguard the health of the people under the new situation. We overviewed the advances in supply-demand study of contracted family doctor services in China，with a summary of demand-based study centering on the service delivery status，contacting rate，contract renewal rate，and residents' intention to contract the services，and their awareness of and satisfaction with the services，and supply-based study focusing on the constituent，fostering and educating of service providers（family doctor team），and incentive mechanism for them as well as their job satisfaction，and summarized that most evaluation studies of implementation effectiveness of the services mainly from the demand perspective. Moreover，problems in the research process were analyzed，and future research directions as well as policy recommendations were put forward. In addition，we concluded that there is a research gap in empirical studies of the service delivery from the supply side，and put forward that it is particularly important to further promote the development of contracted family doctor services via improving the training and education and incentive mechanism for family physicians，and the composition of a family physician team.