[1]李 悦,邓世虎,张 进,等.医保主导的家庭医生签约服务试点效果分析 ——基于M市“两病”患者监测数据[J].卫生经济研究,2025,42(04):33-36,41.
　LI Yue,DENG Shihu,ZHANG Jin,et al.Analysis of the Pilot Effectiveness of Family Doctor Contracted Service Led by Medical Insurance ——Based on the Monitoring Data of Patients with "Two Diseases" in M City[J].Journal Press of Health Economics Research,2025,42(04):33-36,41.
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医保主导的家庭医生签约服务试点效果分析
——基于M市“两病”患者监测数据
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年04期
页码:
33-36,41
栏目:
卫生服务利用
出版日期:
2025-04-02

文章信息/Info

Title:
Analysis of the Pilot Effectiveness of Family Doctor Contracted Service Led by Medical Insurance
——Based on the Monitoring Data of Patients with "Two Diseases" in M City
作者:
李 悦1; 邓世虎2; 张 进2; 孙 宇3; 陈爱中4; 邹 娟5; 彭美华1
1.成都中医药大学管理学院，四川 成都 610075
2.眉山市医疗保障局，四川 眉山 620010
3.眉山市青神县医疗保障局，四川 眉山 620400
4.眉山市青神县卫生健康局，四川 眉山 620400
5.眉山市青神县医院集团，四川 眉山 620400
Author(s):
LI Yue;  DENG Shihu;  ZHANG Jin;  SUN Yu;  CHEN Aizhong;  ZOU Juan;  PENG Meihua
School of Management, Chengdu University of Traditional Chinese Medicine, Chengdu Sichuan 610075, China
关键词:
慢病管理; 家庭医生签约服务; 糖尿病; 高血压
Keywords:
chronic disease management;  family doctor contracted service;  diabetes mellitus;  hypertension
分类号:
R19
文献标志码:
A
摘要:
目的：分析M市医保主导的家庭医生签约糖尿病、高血压（“两病”）患者的试点成效，提出政策建议。方法：采用描述性统计方法，对比分析M市改革县与非改革县家庭医生签约服务改革成效。结果：相比非改革县，改革县“两病”患者对基层医疗卫生机构与家庭医生的信任度和满意度显著提高，健康素养和自评健康状况得到改善。结论：医保主导的家庭医生签约服务改革初显成效，但需进一步深化，提高政策协同性与基层“两病”管理能力，优化绩效考核制度，加强信息化建设，扩大政策惠及面。
Abstract:
Objective To analyze the pilot effectiveness of family doctors signing contracts with patients with diabetes and hypertension ("two diseases") led by medical insurance in M city, and to make policy recommendations. Methods Descriptive statistics were used to compare and analyze the effectiveness of family doctor contracted service reform in reform counties and non-reform counties in M city. Results Compared with the non-reform counties, patients with "two diseases" in the reform counties showed significantly higher trust and satisfaction in primary healthcare institutions and family doctors, and improved health literacy and self-assessed health status. Conclusion The reform of family doctor contracted service led by medical insurance has begun to show results, but it needs to be further deepened. It is necessary to improve the synergy of policies and the ability of primary healthcare institutions to manage "two diseases", optimize the performance appraisal system, strengthen the construction of informatization, and broaden the benefit of the policy.

参考文献/References:

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更新日期/Last Update: 2025-04-02