|
|
|
| A qualitative study of team building and cooperation status of family doctor contract service in five districts in Beijing |
| SHI Dazhen MA Wenhan ZHAO Yali |
| School of General Medicine and Continuing Education, Capital Medical University, Beijing 100069, China |
|
|
|
Abstract Objective To understand the current situation of the formation and cooperation of the family doctors′ contracted service team in the five districts of Beijing, and to put forward reasonable suggestions to provide references for improving the service capabilities of the family doctor team. Methods From March to May 2019, conduct personal in-depth interviews of community health service management centers (one director per district) in Dongcheng, Xicheng, Chaoyang, Fengtai, and Haidian District in Beijing. The interviews were conducted in the conference rooms of each center and lasted about 60 to 90 minutes. The audio recording was used to record information, while the content analysis was applied to extract topics. Results The topics were extracted from family doctor team combinations, information platforms, incentives measures, existing problems. Team combination: based on the classic composition of medical care and defense, the team combination of each district has its own characteristics; information platform: all districts rely on information platforms and mobile APPs to enhance family doctor team cooperation; incentive measures: performance rewards are implemented to the family doctor team and individuals; existing problems: increased workload, insufficient staffing, unscientific incentive distribution, low income, lack of internal team assessment standards, internal team cooperation problems, low enthusiasm for team members, and weak basic medical service capabilities of general practitioners. Conclusion Strengthening the introduction of talents, establishing a scientific performance appraisal and reward mechanism, increasing the income of family doctors team members, and improving team members′ cooperation ability and basic medical service capabilities through training are the main measures to improve the quality of family doctor team services.
|
|
|
|
|
|
[1] 焦瑜.基于公共服务理论的家庭医生服务研究—以南京市栖霞区为例[D].南京：南京师范大学，2017.
[2] 国务院办公厅.《关于印发推进家庭医生签约服务指导意见的通知》（国医改办发〔2016〕1号）[EB/OL].2016.http：//www.mohrss.gov.cn/wap/zc/zcwj/201606/t20160615_241854.html.
[3] 张向东.深化内涵全面推进家庭医生签约服务[J].中国卫生人才，2019（7）：14-17.
[4] Krippendorff HK. Content analysis：an introduction to its methodology [M]. 2nd ed. Thousand Oaks，CA：Sage，2004.
[5] 张琪，王德永.家庭医生制度对分级诊疗意愿影响—基于倾向得分匹配实证研究[J].青春期健康，2018（24）：88-91.
[6] 魏学娟，吴浩，于海洋，等.方庄社区家庭医生式服务推进分级诊疗的实践效果研究[J].中国全科医学，2017，20（13）：1558-1563.
[7] 何志宏，王凌云，韩琤琤，等.基于医-护-助责任制的德胜家庭医生签约服务模式[J].中国全科医学，2019，22（22）：2681-2687.
[8] 梁鸿，贺小林.中国家庭医生制度探索与改革的长宁模式[J].中国卫生政策研究，2017，1（10）：1-2.
[9] 唐国宝，林民强，李卫华.分级诊疗“厦门模式”的探索与评价[J].中国全科医学，2016，19（22）：2624-2627.
[10] 张国红，曾丹，贾问樱，等.“北京市家庭医生签约服务”专家主题研讨[J].中国全科医学，2019，22（S1）：5-8.
[11] 国务院办公厅.《关于促进和规范健康医疗大数据应用发展的指导意见》（国办发〔2016〕47号）[EB/OL].2016.http：//www.gov.cn/zhengce/content/2016-06/24/content_ 5085091.htm.
[12] 黄玉梅，龚义伟，方惠.“互联网+家庭医生签约服务”模式的探索与实践[J].中国全科医学，2019，22（25）：3076-3080.
[13] 付英杰，王健，俞乐欣，等.健康中国背景下家庭医生签约服务发展中的问题与对策研究[J].中国全科医学，2019， 22（19）：2296-2300.
[14] 杜丹丹，袁春凤，肖传玲.家庭医生签约模式下综合干预对高血压患者血压的影响[J].中国医学创新，2019， 16（23）：154-158.
[15] 郭芙蓉，张丽红，郭玉红.社区居民对家庭医生服务需求的调查研究[J].中国医药科学，2018，8（2）：169-172.
[16] 姚银蓥，周亮亮，熊季霞，等.我国家庭医生签约服务现状的系统评价[J].中国卫生事业管理，2019，36（3）：168-171，210.
[17] 黄蛟灵，梁鸿，张宜民，等.家庭医生满意度影响因素分析[J].中国卫生资源，2016，19（6）：507-511.
[18] 殷龙.注重服务切实提升基层医疗服务水平[J].人口与计划生育，2017（3）：53-54.
[19] 肖蕾，张太慧，张雅莉，等.分级诊疗视角下家庭医生签约服务“签而不约”的原因及对策研究[J].中国全科医学，2018，21（25）：3063-3068.
[20] 殷涛，关梦然，尹德卢，等.家庭医生签约服务筹资支付模式探索[J].中国卫生经济，2019，38（7）：37-39.
[21] 吴姝德.基于绩效考核的全科医生团队薪酬激励机制研究[D].武汉：华中科技大学，2016. |
|
|
|
