Problems And Countermeasures Of Family Doctor System In Suburbs

Since entering the 2l century, globalization of unhealthy lifestyles, rapid unplanned urbanization and a serious threat to the health of residents, to carry out public health services, to find the appropriate public health service model has become an inevitable trend in the new era of global health reform, and a family doctor system service model in improving the health of residents and the level of equity in health services play an important role. Based on the research status of the implementation of the family doctor system were discussed and summarized, and the feasibility of the Shanghai suburbs( in Fengxian District, for example) to implement family doctor system analysis, plus the actual questionnaire, interview-style investigation and analysis, Shanghai suburbs appear summarize the implementation stage of the family doctor system problems and based on this analysis to investigate the corresponding path program, designed to promote and provide a theoretical basis for the promotion of family practice physicians in the system, and the corresponding suggestions.Methods:1. Feasibility Analysis of Fengxian District of Shanghai to implement family doctor systemAfter a review of the relevant literature, practice status quo in Fengxian district level of development and the family doctor system of community health services serving as the basis, from the infrastructure, operation mechanism construction, services and health reform policy four aspects to explore the feasibility of its implementation of the family doctor system.2. Residents signing unsigned family doctor wishes and influencing factorsConvenience sampling method to extract 900 community residents unsigned family doctors in Fengxian District of Shanghai(each three from east, west and middle area) from nine community health service centers, using homemade structured questionnaire survey.3. resident satisfaction surveys have been contracted for the family doctor system servicesConvenience sampling method to extract 450 community residents who have signed family doctors in Fengxian District(each three from east, west and middle area)from total nine community health service centers, using homemade structured questionnaire survey.4. Research on the implementation of the family doctor family doctor system service awarenessPurposive sampling method to extract Fengxian District Community Health Service GP 27, according to the non- structured individual interviews conducted in-depth interviews outline.5. Community health research management system for the implementation of the family doctor service awarenessPurposive sampling method to extract 15 community health managers, individuals through the use of non- structured interviews conducted in-depth interviews outline and perform data collection participant observation method.In conclusion1. Fengxian District of Shanghai has taken with the basic conditions for the implementation of the family doctor service model system, the shortage of medical personnel and general health funding constraints payment is to implement family doctor system service mode obstacles.2. Residents signed lower family doctor wishes to know the degree of the family doctor system service launch, community acceptance of the first diagnosis is a major factor affecting the signing will.3. The implementation of community health services family doctor system gradually strengthen coordination service model needs to develop family- based family doctor team doctor, a clear service content, service system in the form of family doctor services, strengthen the construction of health information platform, and gradually improve in Medicare payment reform measures mainly related.