[1]罗金萍,孙嘉颖,张倩雯,等.家庭医生签约服务高质量发展的政府责任 ——基于服务三角模型[J].卫生经济研究,2024,41(11):25-27.
 LUO Jinping,SUN Jiaying,ZHANG Qianwen,et al.Government Responsibilities in the High-quality Development of Family Doctor Contracting Services ——Based on the Service Triangle Model[J].Journal Press of Health Economics Research,2024,41(11):25-27.
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家庭医生签约服务高质量发展的政府责任
——基于服务三角模型
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年11期
页码:
25-27
栏目:
出版日期:
2024-10-31

文章信息/Info

Title:
Government Responsibilities in the High-quality Development of Family Doctor Contracting Services
——Based on the Service Triangle Model
作者:
罗金萍123孙嘉颖123张倩雯123王 康4耿铭慧123牟艺帆123张宝轩123尹文强123陈钟鸣123马东平123
1.山东第二医科大学管理学院,山东 潍坊 261053
2.“健康山东”重大社会风险预测与治理协同创新中心,山东 潍坊 261053
3.健康风险预警治理协同创新中心,上海 200032
4.潍坊市人民医院,山东 潍坊 261000
Author(s):
LUO Jinping SUN Jiaying ZHANG Qianwen WANG Kang GENG MinghuiMOU Yifan ZHANG Baoxuan YIN Wenqiang CHEN Zhongming MA Dongping
School of Management, Shandong Second Medical University, Weifang Shandong 261053, China
关键词:
家庭医生签约服务政府责任高质量发展服务三角模型
Keywords:
family doctor contracting services government responsibility high-quality development service triangle model
分类号:
R19
文献标志码:
A
摘要:
家庭医生签约服务的性质、内容和功能决定了政府需发挥主导责任,然而在现实中政府的职责定位不明确甚至出现了偏差,存在相关法律法规不健全、供需不匹配、筹资支付方式不稳定、权责不清晰、全科医生资源配置不足、监督考核机制不完善等问题。对此,基于服务三角模型,从服务战略、服务系统、服务资源三个方面,探讨家庭医生签约服务的政府责任,提出以居民健康需求为导向、完善多元主体协同机制、健全人力财力资源保障等建议,以期助力家庭医生签约服务高质量发展。
Abstract:
The nature, content and function of family doctor contracting services determine that the government needs to play a leading role. However, in reality, the government responsibilities are unclear or even biased, and there are main problems such as incomplete legal and regulatory system, mismatch between supply and demand, instability of financing and payment methods, lack of clarity of rights and responsibilities, insufficient allocation of family doctor resources, and imperfect supervision and evaluation mechanism. In this regard, based on the service triangle model, this paper discusses the government responsibilities in family doctors contracting services from three aspects of service strategy, service system and service resources, and puts forward some suggestions, such as taking health demand of the residents as the guide, perfecting the multi-agent cooperation mechanism and improving the guarantee of human and financial resources, in order to help the high-quality development of family doctor contracting services.

参考文献/References:

[1] 裴中斐,秦文哲,胡芳芳,等.泰安市老年人家庭医生签约服务认知及其影响因素研究[J].中国农村卫生事业管理,2023,43(04):268-273.
[2] 王晓晓,郭清,杨磊,等.杭州市社区居民对家庭医生签约服务政策认知情况的调查[J].中国卫生政策研究,2020,13(05):45-49.
[3] 石玥.基于马萨综合模型的家庭医生签约服务政策执行中的问题与对策研究[D].济南:山东大学,2024.
[4] 吴爽,邓茜月,曹志辉,等.居民对家庭医生签约服务的需求偏好研究——基于离散选择实验[J].卫生经济研究,2021,38(05):18-21.
[5] 储一鸣,宋巨庆,吴建平,等.家庭医生签约服务的需求与供给匹配性分析[J].中国初级卫生保健,2019,33(01):14-16,20.
[6] 李如然,张扬,沈菲,等.供需双方视角下社区全科医疗服务的开展初探[J].中国医学科学院学报,2023,45(02):245-250.
[7] 贾梦,管雪帆,孟禹呈,等.我国家庭医生签约服务费筹资与支付现状调查研究[J].中国卫生经济,2023,42(09):66-69.
[8] 张霄艳,王雨璇,杨诗雨,等.契约理论视阈下医保支付家庭医生签约服务费的模式探讨[J].锦州医科大学学报(社会科学版),2021,19(01):25-28.
[9] 田淼淼,王芳,贾梦,等.签约服务费筹资现状及对家庭医生的薪酬补偿作用分析[J].中国卫生政策研究,2020,13(07):41-45.
[10] 万晓文,曾程,李宗友,等.中国全科医生培养和使用发展报告(2022)[J].中国全科医学,2024,27(10):1153-1161.
[11] 谭琳婧.家庭医生签约服务监管主体问题研究[D].重庆:西南大学,2020.
[12] 周园娜.基于离散选择实验的郑州市慢性病患者家庭医生签约服务偏好研究[D].开封:河南大学,2023.
[13] 王家合,戴星原.政府购买医疗卫生服务体系的关键因素与优化策略——基于“服务三角”模型的分析[J].新视野,2018(05):75-81.
[14] 高红霞,张慧,叶清,等.基于服务三角模型的农村老年人健康管理供给模型探讨[J].医学与社会,2019,32(04):32-37.
[15] 白兰,孙红,肖雨龙.南京市家庭医生签约服务现状及问题研究[J].卫生经济研究,2024,41(03):32-35.

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更新日期/Last Update: 2024-10-31