| Beijing city in2010to explore the family doctor service in the pilot area.Fangzhuang community health service center in2010to become the first batch ofpilot units in Beijing City, the family doctor service, with15neighborhoodcommittees for the basic point set up15family doctor service team, signing31816residents. In three years with some problems to carry out the work of human relativeshortage of resources, service capability from the community residents hope stillexists gap appeared gradually. Also reflect on these issues in Shanghai, Chengdu andother areas of family doctor service implementation process.This article through the literature research at home and abroad on the mode offamily doctor research carried out, outside of the family doctor service are mostlybased on capitation prepayment and family doctor first diagnosis system basis, whilethe domestic research is concentrated on the analysis and the existing problemscarried out the family doctor service, for the study of the family doctor service less themodel. This to Beijing Fengtai Fangzhuang community health service center as theresearch subject, through random sampling method, carries on the questionnairesurvey to the Fangzhuang community of300residents, informed the family doctorservice awareness, needs, satisfaction and utilization. On43main service teammembers questionnaire, get the family doctor service supply, training needs,occupation development satisfaction etc.. In the form of interview each other Zhuangcommunity subdistrict offices and neighborhood committees responsible personinterview, understand the work carried out by the opinions and suggestions. Theservice team5Captain interviews, the main problems encountered in theimplementation process and the idea of understanding.The results of the statistical analysis, combined with the theory of publicmanagement, there is the analysis of service models are imperfect organizationalstructure, lack of staff, lack of supporting the running mechanism and the informationdegree is not high question. Through the analysis of the community health servicecore competitiveness from the standard construction, adjusting the organizational structure, the family doctor service treatment process, improve the mechanism ofconstruction, construction of the Fangzhuang family doctor service pattern matchingfour aspects of guarantee.This mode conforms to the Fangzhuang community health service center, thecharacteristics of its development, so that the formation of relatively fixed servicerelationship between the doctor and the contracted residents, establishes an orderedmedical treatment in order to improve the relationship between doctors and patients,to provide effective measures, highlight the core competitiveness of the communityhealth service, will effectively improve the family doctor service ability and thecontract residents health management level. At the same time, because of our familydoctor service is still in the initial stage, is a new thing in the development ofcommunity health services, related management system, operation mechanism andpolicies and regulations in revising and perfecting constantly in. This study of thefamily doctor service this Huimin measures to further push forward relatedsuggestions will build on similar services in other parts of the model has certainreference function. |
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