推行家庭医生服务的瓶颈问题分析与对策研究

目的：通过深圳市福田区开展家庭医生服务存在的问题提出对策。方法：于2011年11月1日-12月1日通过调查问卷及电话随访等方式，对深圳市福田区10家社区健康服务中心开展家庭医生制服务状况进行调查。结果：目前福田区家庭医生服务取得了较大的发展，家庭医生团队建设不断加强、绩效考核体系逐步完善，有开展家庭医生服务的基础；但存在家庭医生人力资源不足、医疗服务水平参差不齐，导致居民不信任，居民传统的医疗观念及卫生政策不配套也影响了新模式的推行。结论：建议在政府主导下加大政策扶持力度，明确工作目标，完善细化工作内容，加强家庭医生人才培养与培训及家庭医生责任服务模式的宣传、科学开展家庭医生制服务绩效评估等。

Bottlenecks analysis and countermeasures studying in the implementation of family doctor service system

Objective：To table countermeasures to the problems existing in the Family Doctor Service System in Futian District, Shenz- hen. Methods：Conducted questionnaire surveys and telephone interviews among ten Community Health Centers undergoing Family doctor System in Futian District, Shenzhen （2011.11.1 - 12.1 ）. Results：Family Doctor Service in Futian District had presently made relatively large headway in improving family doctors team building and performance appraisal system, which lay the foundation for the implementa- tion of Family Doctor Service, however, family doctors scarcity and irregular - leveled medical services result in local residents trust drought; meanwhile, traditional medical perceptions and lack of supporting health policy slowed the implementation. Conclusion：The re- suits suggested that strengthening government - led supportive policy execution and system personnel training, classifying the work targets, detailing the work tasks, propagandizing responsibility - system service mode and science performance evaluations were the extremely ur- gency to save.