Evaluation Research On The Implementation Of The Contract Policy Of Rural Family Doctors In Kashgar City

In 2020,China has won the battle against poverty.As a follow-up and important convergence policy in Stabilize hygeian benefits from poverty,the village doctor for cooperation policy that there are some advantages the domainating health care security after poverty alleviation in some district where the people have a little money,and continuously improves the capacity of first consultation and health service under domainating medical conditions and to preventthe people become the bset poor people because a variety of diseases and the people getting more and more impecunious than previous economic conditions because some people’ body appear questions.On the basis of dcotrine of new public service,the dcotrine of public policy implementation,the community policy appraisal dcotrine,the impoverished disease vicious circle dcotrine as the foundation,this paper evaluates and studies the implementation of the policy of signing up rural family doctors in Kashgar City.In meets the economical development background to the Kashi municipal cooperative with to escape from poverty the present situation,the health helping the poor measure embodiment situation,find out how do village doctor contract implementation of went to kashgar countryside,escapes from poverty the signing inhabitant’s demand side appraisal angle from the village family doctor’s supplies side appraisal angle and the countryside to embark,before the human studies the policy embodiment is the reference,unifies Dunne’s community policy appraisal standard,established including 5 level targets,12 two level of targets,30 three level of target Kashi city village family doctor has signed a treaty the policy execution appraisal target system.Through the questionnaire survey,the union chromatographic analysis analytic method weight reckoning and the multistep blurry quality synthetic evaluation model carry on the policy execution the real diagnosis appraisal analysis.Finally obtains Kashi city village family doctor to sign a treaty the policy execution appraisal overall score is 68.53,the level target score is in turn the policy carries out responsive,the policy execution organization manages,the policy execution cognition and the spreadability,policy execution main body work responsiveness,the policy resources sufficiency.The research results show that the implementation process of the contracting policy for rural family doctors in Kashgar is in a good state,but there are incomplete signing agreements,imperfect performance appraisal and collaborative management system;insufficient number of rural family doctors,weak talent training and incentive measures;policy resources The sufficiency of middle-level medical facilities resources and drug resources is low,and the coordination of medical insurance payment resources is insufficient;the contracting policy is not in-depth publicized,and the poor people who have established documents have insufficient understanding of the contracting policy;the service quality of the contracted policy is weak,and the service supply Major obstacles such as lower precision.Therefore,it is necessary to complete the signing agreement,improve the performance appraisal and collaborative management system between medical institutions;adjust the talent introduction method,strengthen talent training and incentives;supplement the resources of primary medical facilities and drug resources,improve the adequacy of medical insurance payment resources;strengthen publicity,Consolidate the cognition of the poor population policy for file registration;optimize the supply of contracted services and improve the quality of contracting.