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医共体模式下家庭医生签约服务的困境与进路探析OACHSSCD

An analysis of the challenges and approaches in family doctor contract services under the medical community model

中文摘要英文摘要

文章结合安徽、福建、浙江等医共体先行省份的实践经验,发现医共体模式下家庭医生服务团队逐渐壮大,签约内容更加丰富,能获得更多医保支持以及县域内优质资源.然而,如何促进家庭医生签约服务走深走实,仍然面临着医共体内"人、财、物"利益协同方面的挑战.在持续推进医共体建设的过程中,应进一步为家庭医生团队提供资源保障,以医保为杠杆激发家庭医生的服务动力,同时注意防止"虹吸".

Based on the practical experience of Anhui,Fujian,Zhejiang and other leading provinces of the medical community,this paper finds that under the medical community model,the service team of family doctors is expanding,contract content is become more affluent,with increased access to medical insurance support and quality high-quality resources within the county areas.In promoting the construction of the medical community,this approach still faces challenges in coordinating"human,financial and products"that intersect within the medical community.It is essential to provide resources for the family doctor team,and use medical insurance should as a lever to motivate the service motivation of family doctors,and become vigilant against the"siphon effect".

彭涛;滕黎

川北医学院基础医学与法医学院,四川 南充 637000川北医学院管理学院,四川 南充 637000

预防医学

医共体;家庭医生;签约服务

medical community;family doctor;contract signing

《南京医科大学学报(社会科学版)》 2024 (002)

120-123 / 4

四川省基层卫生事业发展研究中心科研项目"整合型慢性病管理中利益相关者的演化博弈分析及实证研究"(SWFZ-23-Y-65)

10.7655/NYDXBSSS240004

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