Research On The Status,Problems And Countermeasures Of Rural Family Doctors Contracted Services In A County,Anhui Province

Since the implementation of the "new medical reform",family doctors have become more and more important as the "gatekeeper" of the residents.In order to cooperate with the implementation of the classification system and support the policy and control of the basic medical security system,the family doctor signing system came into being and has achieved good preventive health effects in the pilot works of the urban areas.Formed distinctive development models in different regions,in the rural areas of A County in Anhui Province,the rural doctors as the main signer of rural doctors,benefited from the subsidence of the resources of the county medical community,and the low quantity of the rural doctors,and the rural doctors as the main signer,although the management rate of the key population,the income of rural doctors and the basic first consultation system are improved.It has achieved certain achievements,but there is still a lack of neglect in the design and effective implementation of the system,such as the one-way propaganda of the service subject,the lack of interaction between the two parties,the low quality of the rural doctors,the poor quality of the performance of the performance,the light weight of the performance assessment,the hard work of supervision and incentive,and the function of the information system.First,there is a lack of shared application path.These problems have led to the A county's rural family doctors contracted services showing a "heavy quantity,light weight" deformity development.Through the case study,the paper tries to construct the logical framework of "policy orientation-behavior preference-synergistic governance" by using the methods of literature research,field investigation,interview,systematic analysis and summary,and tries to construct the logical framework of "policy orientation-behavior preference-synergistic governance" in A County of Anhui province.The village family doctor contract service policy implementation status of in-depth analysis,insight into the problem,so as to improve the Countermeasures: deepen common action,cooperate to promote service;optimize the construction of the supplier,enhance the medical ability;improve the supporting mechanism,turn coarse to fine;build the network platform,expand functional applications.By guiding the destiny community between the participants of the signing of the contract,the contract service pattern which attaches importance to the quality is remodeled so as to maintain a good contract spirit that can combine the performance of the contract service and the health performance.