Study On The Family Doctor System Service Based On Supplier

Objectives This study is conducted to investigate the status of the family doctor service in Jiangsu province.Through the empirical study of the supplier,it analyzes its operation mode and mechanism,summarizes the implementation effect of the family doctor system and the problems,compares the family doctor system in and out of China,explores the countermeasures for improving the family doctor system in Jiangsu province,finally providing corresponding suggestions for the sustained promotion of family doctor service.Methods Fully combing the family doctor system policy and key measures in Jiangsu Province,summarizing the implementation characteristics of the family doctor system in various places to provide the basis for the following investigation.During the empirical investigation,sample survey was conducted in Jiangsu Province,8 primary medical institutions which have implemented contracted service were extracted in each city to fill in the institution questionnaire,and 3 doctors were extracted in each institution to fill in the family doctor questionnaire.The institution questionnaire mainly includes the following aspects: rate of signing a contract,mode of contracted service,content of service package,promotion measures,staffing situation,problems on the implementation of contracted service,the doctor questionnaire mainly includes: general situation of family doctor,number of contract,the form of work,the working time,cognition for contracted service,self competency assessment,evaluation of enthusiasm and stability,satisfaction condition.Results The main achievements of the family doctor system in Jiangsu are:establishing regional characteristic service mode,making clear the service contentwith the form of the project base;constantly deepening the information construction;ensuring the vertical technical cooperation;strengthening the policy guidance.Problems in the development process of family doctor system are : gap with policy goal due to insufficient service coverage;deficiency of family doctors and inadequate staffing of team members;inadequate funding from three parties and imperfect incentive mechanism;lack of medical insurance support and unsound assessment system.Suggestions Strengthen the service capacity of institutions and speed up the contract rate of family doctors;accelerate the training of talents and pay attention to team building;improve the incentive mechanism and the satisfaction of doctors;promote the participation of medical insurance and strengthen the supervision and assessment.