Research On Family Doctor Contract Service Under The Background Of Regional Medical Alliance

Objective This study took the family doctor’s contract service as the research object.On the theoretical level,analyzed the feasibility conditions of implementing family doctor contracting services in the context of a medical alliance in a central town of the Pearl River Delta,summarizing the advantages and disadvantages,opportunities and challenges in the implementation of services.On the practical level,the article analyzed the status quo of contract service from the four dimensions of service model,object,subject and content,found the actual problems and shortcomings of service,and explored the effective supply path of family doctor contract service in the context of medical alliance,provided baseline information and reference recommendations for the further development of local medical alliance and family doctor contracting services.Methods This paper used the literature research method to analyze the necessity and feasibility of implementing family doctor contracting services in the context of medical alliance.Through the participatory observation method,the paper understood the shortcomings in the actual operation of the contract service from the perspective of both supply and demand,and used semi-structured interviews to understand the provider’s views on problems in the development of family doctor contract service,as well as their improvement strategies.This study used a questionnaire survey to study the supply and demand side of contracted services.The first was to take a group sampling of service providers,selected 129 medical personnel participating in the contract service for each community station,and investigated the actual service provision,work burden and remuneration,cognition of service difficulties and demand for support measures.The second was to conduct stratified random sampling of service demanders,conducted on-the-spot investigations on 510 residents of 17 community stations,and understood residents’perceptions and wishes for contracting services,demand for services,and utilization and evaluation of services.Finally,the case analysis method was used to summarize the qualitative and quantitative data,to analyze the existing problems and root causes of the contract service,and to propose countermeasures.Results Combined with theoretical analysis and empirical research,the main problems in family doctor contracting service under the background of medical alliance were summarized as follows:First,the role of the medical alliance in the supply model was not obvious.Second,the diversity of service demanders brought difficulties to services,mainly due to the large scale of service demanders,the low awareness and utilization of contracted services,high requirements for family doctors,and diversified service needs.Third,the level of family doctors’ service ability still need to be improved.On the one hand,the staffing of the family doctor service team was unreasonable,on the other hand,the heavy workload of the doctors lead to the low enthusiasm of the medical staff.Fourth,there were difficulties in implementing service content projects,including the failure of contracted service coverage,and the difficulty in achieving first-time and referral services.Conclusion In order to further optimize the service supply,first,it was also necessary to strengthen the construction of the medical alliance,explore the establishment of a close medical community,and effectively serve the development of family doctor contract services.Second,relevant departments should increase policy propaganda,the content of the propaganda should also be clear and attractive,thus transforming the traditional concept of medical treatment for residents.Third,the medical alliance should optimize the team building of family doctors,improve the team service ability by increasing the overall number of general practitioners,rationally equipping team members,and building a career path.The government should improve various supporting policies to do a fine family doctor contract service,including establishing a general practitioner’s regulation base,establishing a personnel mobility mechanism,implementing a reasonable performance compensation system,improving and standardizing the two-way referral system,reforming the medical insurance payment method,constructing a medical association drug connection system,and promoting the establishment of a unified information platform.