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ROCCIPI框架下家庭醫生簽約服務發展的問題識別與對策分析

Implementing family doctor contracting services under the framework of ROCCIPI: problems and solutions

作者:

宋寶香   楊玲

單位:

江蘇南京,南京中醫藥大學衛生經濟管理學院

關鍵詞:

ROCCIPI;家庭醫生簽約;問題識別;對策分析

分類號:

R197

DOI:

10.3969/j.issn.2095-7432.2023.01.002

出版年,卷(期),頁碼:2023,13 (1):9-13

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摘要:

家庭醫生簽約服務是深化醫藥衛生體制改革的重要內容,自實施以來成效明顯,但仍存在一些問題。運用ROCCIPI 分析框架,從7 個維度對家庭醫生簽約服務發展過程中的問題進行識別分析,發現家庭醫生制度發展的各方面機會充足,但仍面臨著較大的挑戰:頂層設計不足,相關配套政策有待完善,未能有效協調各方利益,供需雙方對制度的認識不到位,參與主動性不高,其服務能力、服務利用率、續約率和滿意度均有待提高。建議通過完善政策環境,協調各方利益;加強組織管理,提高服務能力;加強宣傳引導,明確政策認識這3 個方面推動家庭醫生簽約服務高質量發展。

英文摘要:

Family doctor contracting service (FDCS) is an important part of deepening the reform of the medical and health system in China and has made significant achievements since its adoption. However, there are still some problems. Using the ROCCCIPI analysis framework, we identifi ed and analyzed the problems in FDCS from seven dimensions. It was found that there were both opportunities and challenges in development of FDCS: the top-level design is insuffi cient, the supporting policies need to be optimized, the interests of all stakeholders have not been effectively coordinated, both the supply and demand sides are not aware of the relevant policies, which lead to low initiative for participation. Therefore, the service capacity, service utilization, contract renewal rate, and satisfaction degree need to be improved. In order to promote the high-quality development of FDCS, the following three aspects are suggested: coordinate the interests of all stakeholders by improving the policy environment; strengthen the organizational management and improve service capabilities; and strengthen education and awareness-raising on the relevant policies.

基金項目:

國家自然科學基金青年項目計劃“數字健康時代新興醫療信息技術使用對醫生工作績效的影響研究:基于適應性結構化理論的視角”(71702078

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