| 引用本文：曹扬, 汤苏川, 任晓波, 姜仑.江苏省乡村医生签约服务试点经验及启示[J].中国卫生政策研究,2015,8(12):56-59 |
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| 江苏省乡村医生签约服务试点经验及启示 |
| 投稿时间：2015-01-14 修订日期：2015-12-10 PDF全文浏览 HTML全文浏览 |
| 曹扬, 汤苏川, 任晓波, 姜仑 |
| 江苏省卫生和计划生育委员会 江苏南京 210008 |
| 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。 |
| 关键词:乡村医生 签约服务 分级诊疗 |
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| The experiences and implications of rural doctors' contracted service in Jiangsu |
| CAO Yang, TANG Su-chuan, REN Xiao-bo, JIANG Lun |
| Jiangsu Provincial Commission of Health and Family Planning, Nanjing Jiangsu 210008, China |
| Abstract: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. |
| Key words:Rural doctors Contracted service Classified diagnosis and treatment |
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