摘要
介绍基于三级医院专科医师、基层医疗机构全科医师和健康管理师的“三师共管”构建的具有厦门特色的家庭医生签约服务模式，并对该服务模式管理的特点及效果进行总结分析。显示该模式实施后户籍人口到基层医疗机构就医比例大于到三级医院就医比例，出现了拐点；群众满意度明显提高；基层岗位吸引力提升，基层医务人员收入大幅增加。提示厦门市“三师共管”家庭医生签约服务模式可以为其他地区推行分级诊疗、家庭医生签约提供可借鉴的经验。
A ＂Three-in-One＂ model of family doctor contract service was proposed in July 2014 and then implemented in Xiamen. In this model the health service was provided to contracted residents by a team consisted of specialists from tertiary hospitals, general practitioners and health manager in community health service centers. After the implementation of the model, the proportion of visiting in primary care institutions among the residents surpassed that in hospital visiting, appearing a inflection point. The satisfaction of the residents increased significantly, meanwhile the income of primary care medical staff increased substantially and the position of primary care seemed to be more attractive. The ＂Three-in-One＂ service model of Xiamen may provide valuable experiences for implementation of family doctor contract service and hierarchichal medical service system in other areas of China.
作者
唐国宝
姜杰
Tang Guobao;Jiang Jie(Department of Community Service, the First Affiliated Hospital of Xiamen University, Xiamen 361001, China （Tang GB;Dean of the Room, the First Affiliated Hospital of Xiamen University, Xiamen 361001, China （ Jiang J)
出处
《中华全科医师杂志》
2018年第7期510-513,共4页
Chinese Journal of General Practitioners
关键词
全科医师
家庭医生签约
General practitioners
Family doctor contract
