县域医共体背景下安徽省定远县家庭医生签约服务进展分析

目的:分析县域医共体背景下安徽省定远县家庭医生签约服务进展。方法:通过访谈了解安徽省定远县家庭医生签约服务主要做法及与医共体的关系,收集2014—2016年新农合平台数据、家庭医生签约服务数据及相关政策文件。结果:定远县家庭医生签约服务目前存在配套政策不完善、基层医疗卫生机构人力资源不足、供需双方对家庭医生签约服务认识不足等问题。结论:县域医共体通过统一管理制度建立起责任共同体,整合县域内医疗资源形成区域发展共同体,结合按人头支付方式形成区域医疗机构利益共同体在一定程度上促进了家庭医生签约服务覆盖率及效果、基层医疗卫生机构服务能力、签约人群补偿水平的提升和签约医生收入的增加。

Analysis on the progress of contract service of family doctors in Dingyuan county of Anhui province under the background of county medical alliances

Objective:This study aims to analyze the progress of contract services of family doctorsin Dingyuan county of Anhui province under the background of county medical alliance. Methods:Data on patient-flow arecollected through the NRCMS information platform and contract services of family doctors related policy documents from 2014 to 2016, and interviews are conducted to study the main reform practices in the county medical alliance.Results:The practices of contract services of family doctors have faced a series of challenges, such as incomplete supporting policies, insufficient human resources in grass-roots medical and health institutions, and insufficient understanding of the contract services of family doctors between the supply and demand sides.Conclusions:County medical alliances establish a more responsible community through unified management system and integrate medical resources within the county to form a regional development community, and integrate the model of payment per head to form a community with common interests of regional medical institutions, which promotes the improvement of the coverage rate and effectiveness of contract services of family doctors, the improvement of the service capacity of grass-roots health institutions, the improvement of the compensation level of the population, and the increase of the income of family doctors.