| 引用本文：王小合, 冯婉, 钱宇, 方文凤, 郑国管, 汪慧, 李鹏.社区医生首诊服务动力形成机理及治理逻辑研究[J].中国卫生政策研究,2017,10(4):57-64 |
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| 社区医生首诊服务动力形成机理及治理逻辑研究 |
| 投稿时间：2016-05-30 修订日期：2017-01-26 PDF全文浏览 HTML全文浏览 |
| 王小合1, 冯婉1, 钱宇2, 方文凤1, 郑国管1, 汪慧1, 李鹏1 |
1. 杭州师范大学医学院 浙江杭州 310036;
2. 杭州市第一人民医院 浙江杭州 310006 |
| 摘要:社区医生首诊服务能力及可持续发展动力无疑是当前推进基层首诊及分级诊疗制度建设的关键要素。本文通过对“动力”相关概念及发展的逻辑综述，并结合当前我国社区首诊服务以及社区医生角色特质分析，提出并界定了社区医生首诊服务动力的概念及内涵，在重点对构成社区医生首诊服务的引力、支持力、推力、压力等外在动力和由职业认同、自我效能和成就动机三维度形成的内生动力以及相互作用关系规律论证阐述的基础上，构建了以形象和直观为特征的社区医生首诊服务动力形成机理，为当前科学治理和提升社区医生首诊服务动力以及有效推进社区首诊制提供了可供探究的逻辑路径和依据。 |
| 关键词:社区医生 社区首诊 服务动力 形成机理 治理逻辑 |
| 基金项目:国家自然科学基金面上项目（71273080；71673075） |
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| Study of the formation mechanism and governance logic of the service motivation for community doctors' first contact |
| WANG Xiao-he1, FENG Wan1, QIAN Yu2, FANG Wen-feng1, ZHENG Guo-guan1, WANG Hui1, LI Peng1 |
1. College of Medicine, Hangzhou Normal University, Hangzhou Zhejiang 310036, China;
2. Hangzhou First People's Hospital, Hangzhou Zhejiang 310006, China |
| Abstract:The service capabilities and sustainable development of community doctors' first contact are undoubtedly the critical factors to promote the construction of grassroots clinics and tiered health care system. Based on the review of motivation-related concepts and its development, as well as the analysis of the current conditions of community first contact and characteristics of community doctors in China, this paper puts forward and defines the concept and connotation of service motivation for community doctors' first contact by logically summarizing the concept of "force" in physical sciences,"motivation" in service science, Based on analyzing the extrinsic motivations to form community doctors' first contact such as attraction, support, constraint, and stress the intrinsic motivations produced by professional identity, self-efficacy and achievement,as well as the interactions and relationships between them, this paper contructs a formation mechanism of the service motivation for community doctors' first contact, which is visual and intuitive. This paper provides a logical path and basis for scientific governance and upgrade of the service motivation for community doctors's first contact to effectively promote community first contact system in China. |
| Key words:Community doctor Community first contact Service motivation Formation mechanism Governance logic |
| 摘要点击次数: 2040 全文下载次数: 10 |
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