| 引用本文：黄蛟灵, 梁鸿, 张宜民, 刘姗姗, 张伟胜, 张建敏, 汪潮, 陈翔, 杨永华, 吴建平.上海市虹口区家庭医生签约模式的创新：要素、路径与机制研究[J].中国卫生政策研究,2019,12(8):43-48 |
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| 上海市虹口区家庭医生签约模式的创新：要素、路径与机制研究 |
| 投稿时间：2018-05-09 修订日期：2019-02-20 PDF全文浏览 HTML全文浏览 |
| 黄蛟灵1,2, 梁鸿3, 张宜民3, 刘姗姗3, 张伟胜4, 张建敏4, 汪潮4, 陈翔4, 杨永华5, 吴建平6 |
1. 上海交通大学医学院公共卫生学院 上海 200025;
2. 上海交通大学中国医院发展研究院卫生技术评估研究所 上海 200025;
3. 上海市浦东卫生发展研究院 上海 200129;
4. 上海市虹口区卫生健康委员会 上海 200086;
5. 上海市虹口区北外滩街道社区卫生服务中心 上海 200080;
6. 上海市虹口区欧阳路街道社区卫生服务中心 上海 200081 |
| 摘要:目的：为了分析家庭医生签约阻力，提高签约率。方法：本文选取社区卫生服务中心，通过实地调研与座谈，阐述了基层如何通过签约模式的创新来突破签约率瓶颈。结果：欧阳路街道签约模式的核心要素被提炼为“365”，即“3”个关键环节、“6”项签约措施与“5”种人群分类。该模式以签约率目标为导向、以人群精准分类为基础、以多元化签约措施为手段，家庭医生与居委协同推动，对辖区居民的针对性动员，通过“认知—服务—满意度”的签约拉力机制与“激励—协同”推力机制实现了签约率的突破与维系，健康管理的成效也初步显现。 |
| 关键词:签约率 签约模式 作用路径 机制创新 |
| 基金项目:国家自然科学基金（71904145）；上海交通大学中国医院发展研究院2019年度地高大医院管理专项（CHDI-2019-C-01）；上海市卫生和计划生育委员会自选课题（2018HP33） |
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| The innovation of family doctor contracting pattern in Hongkou District of Shanghai: Factors, paths and mechanism |
| HUANG Jiao-ling1,2, LIANG Hong3, ZHANG Yi-min3, LIU Shan-shan3, ZHANG Wei-sheng4, ZHANG Jian-min4, WANG Chao4, CHEN Xiang4, YANG Yong-hua5, WU Jian-ping6 |
1. School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
2. Center for HTA, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai 200025, China;
3. Shanghai Pudong Institute for Health Development, Shanghai 200129, China;
4. Shanghai Hongkou District Health Commission, Shanghai 200086, China;
5. Beiwaitan Sub-district Community Health Service Center of Hongkou District, Shanghai, 200080, China;
6. Ouyang Road Sub-district Community Health Service Center of Hongkou District, Shanghai 200081, China |
| Abstract:Objective:To analyze the hindrance factors of family doctor signing,increase the signing rate.Methods:This paper selected a community health service center to explore how the center responds to the bottleneck of the signing rate by on-the-spot investigation and discussion.Results:Based on group discussion and key personnel interview, the core elements of the signing patternof Ouyang Road Centerwas summarized as "365", i.e."3" key sections, "6" signing measures, and "5" population categories.Targeting the signing rate policy goal, based on accurate classification of people, and using multiple signingmeasures, this pattern hadpromoted targeted mobilization of residents, in collaboration with the two main bodies of family doctors and resident committees. This Pattern hadachieved a breakthrough and maintainedthe signing rate by the "cognitive-service-satisfaction" signing pull mechanism and the "incentive-collaborative" thrust mechanism, while the health management results hadalso showed initial positive results. |
| Key words:Contract signing rate Signing pattern Action path Mechanism innovation |
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