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中国签约家庭医生式服务的作用:医疗改革的“强心剂”还是“创可贴”?

The role of family physicians contracted healthcare in China: A "Cardiotonic" or a "Band-Aid" for healthcare reform?

作者信息

Tang Qi, Song Peipei, Xu Lingzhong

机构信息

School of Public Health, Shandong University.

出版信息

Biosci Trends. 2016 Sep 5;10(4):325-6. doi: 10.5582/bst.2016.01141. Epub 2016 Jul 26.

DOI:10.5582/bst.2016.01141
PMID:27464626
Abstract

On June 6, 2016, as a mode expected to open a new prospect for tiered system of medical care in China, family physicians contracted healthcare was officially launched, intending to facilitate such healthcare be universal coverage by 2020.There are some doubts as to whether this goal is possible. The role of family physicians contracted healthcare in China should also be carefully identified. We hold that family physicians contracted healthcare will promote healthcare reform if it provides a "Cardiotonic" that alleviates the long-standing inequitable allocation of healthcare resources. However, this form of care faces many obstacles given the current state of medical care in China. It will just be a "Band-Aid" if the aforementioned issues of the shortage of family physicians, coordination with referring hospitals, and incomplete oversight are not resolved.

摘要

2016年6月6日,作为有望为中国分级医疗体系开启新局面的一种模式,家庭医生签约服务正式启动,旨在到2020年实现全民覆盖。对于这一目标是否可行存在一些疑问。家庭医生签约服务在中国所扮演的角色也应得到审慎界定。我们认为,如果家庭医生签约服务能提供一种缓解长期以来医疗资源分配不均问题的“强心剂”,那么它将推动医疗改革。然而鉴于中国当前的医疗状况,这种医疗形式面临诸多障碍。如果上述家庭医生短缺、与转诊医院的协调以及监管不完善等问题得不到解决,它将只是一个“权宜之计”。

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The effects of family physician-contracted service on health-related quality of life and equity in health in China.中国家庭医生签约服务对健康相关生活质量及健康公平性的影响。
Int J Equity Health. 2021 Jan 6;20(1):15. doi: 10.1186/s12939-020-01348-4.
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Residents' Awareness of Family Doctor Contract Services, Status of Contract with a Family Doctor, and Contract Service Needs in Zhejiang Province, China: A Cross-Sectional Study.
中国浙江省居民对家庭医生签约服务的认知、签约现状和签约服务需求的横断面研究。
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