| 引用本文：张波.上海浦东新区全科医生家庭责任制认同度的实证研究[J].中国卫生政策研究,2013,6(8):53-57 |
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| 上海浦东新区全科医生家庭责任制认同度的实证研究 |
| 投稿时间：2013-04-21 修订日期：2013-07-15 PDF全文浏览 HTML全文浏览 |
| 张波1 |
| 浦东新区行政学院 |
| 摘要:目的：研究浦东全科医生家庭责任制度的认同度及影响因素，为家庭医生制度的进一步推广提供可行性建议。方法：对浦东试点街镇的597例患者和120名医生就全科医生的认同参与情况进行问卷调查。结果：患者和医生对全科医生家庭职责制的认同度普遍不高，仅有504%的医生和785%的患者支持全科医生制度的推行。全科医生对报酬收入（61%）、奖惩制度（168%）、福利保障（191%）满意度较低，但对领导素质、人际关系和单位管理状况等满意度普遍较高。结论：浦东全科医生的社会认同度、职业认同度明显较低，需要加强舆论宣传引导力度、加大相关配套政策支持力度、加强人才队伍建设和提升全科医生的服务能力，这是进一步推广全科医生责任制的关键和有力保障。 |
| 关键词:全科医生 家庭责任制 认同度 浦东 |
| 基金项目:国家社会科学基金重点项目（09ASH002）；上海市委党校系统课题（12S&DX051） |
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| GPs family responsibility system in Pudong New Area of Shanghai: An empirical study |
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| Abstract:Objective: To study the identification and influencing factors of the GPs Family Responsibility System in Pudong New Area of Shanghai, and to suggest feasible ways of further popularizing the system. Methods: 597 patients in Pudong pilot streets/towns and 120 doctors in the GPs Family Responsibility System were surveyed by questionnaire. Results: Recognition of the GPs Family Responsibility System was not high. Only 50.4% of doctors and 78.5% of patients supported the system. In terms of income, the satisfaction level was 6.1%; in terms of rewards and punishments, the satisfaction level was 16.8%; and in terms of social security, the satisfaction level was 191%. These are relatively low satisfaction levels. However, GPs were more satisfied with the quality of leadership, interpersonal relationships, and management. Conclusion: The Pudong GPs social and occupation identification degree was low. Propaganda and relevant supporting policies need to be strengthened, and a talented team needs to be established. The ability of GPs to provide service also needs to be improved. |
| Key words:General practitioners Family responsibility system Identification Pudong New Area |
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