摘要
本文简述了江苏乡村医生签约服务的实施背景、主要做法、推进措施,并从强化基本公共卫生服务公益性,提高乡村医生积极性,增加乡村医生收入待遇,均衡签约双方供需关系,引导建立农村分级诊疗制度和对新农合基金的影响等方面,对签约服务实施效果进行了分析。得出启示:以签约服务为切入点,重塑医患信任关系,改善乡村医生执业环境;围绕服务对象需求设计供给,明确基层首诊负责,建立合理就医秩序,有效提高资金使用效率;以健康管理为出发点,回归初级卫生保健本源,提升农村人群健康素质。
This paper describes the implementation background for the rural doctors＇ contracted services in Jiangsu province,focusing on the main approaches and promoting measures. The main objective was to analyze the effects of the transform from the perspectives of implementing the basic public health services welfare,promoting the rural doctors＇ incentives and incomes,establishing a balance between the supply and demand,establishing a hierarchical clinic system in the rural areas,understanding the impacts of New Rural Cooperative Medical Scheme,and so forth. Based on the analysis,three conclusions were drawn：（ 1） Rebuild the trust in the relationship between doctors and patients and improve the working environment for the rural doctors with contracted services as a starting point.（ 2） Organize the medical services supplies focusing on the patient requirements,thereby ensuring that the primary health care providers take the first diagnosis responsibility. This helps in establishing a reasonable medical order as well as improved capital efficiency.（ 3） Return to the origin of primary health care by mainly focusing on health management,and improve the health condition for the country dwellers.
出处
《中国卫生政策研究》
CSCD
北大核心
2015年第12期56-59,共4页
Chinese Journal of Health Policy
关键词
乡村医生
签约服务
分级诊疗
Rural doctors
Contracted service
Classified diagnosis and treatment
