Research On The Contract Service Model Of Family Doctors In Pulandian District, Dalian

Family doctor service is based on the general practitioner as the main body,community as the scope,family as a unit,with overall health management as the goal,through the contract service in the form of family,and each member to provide contact,safe,effective and appropriate Comprehensive medical and health services and health management service model.In the family doctor service,after years of exploration,various countries and regions have gradually developed distinctive service modes such as the contract service model with typical capitalist characteristics such as the United States,the government-1ed team service and program adjustment service such as the United Kingdom and Canada Mode of Shanghai "1+1+1" contract service model,Dafeng District,Yancheng City,"basic package + personality package" service model,Hangzhou,health care and maintenance of integrated services contract model,Xiamen,"three co-management"Service model,set far far according to the total payment of the subscription service model and so on.Based on the respective advantages,of these service modes,this paper summarizes the characteristics of the typical family doctor service model and its enlightenment on the implementation of family doctor service contract in Dalian by using the methods of literature analysis,case analysis,comparative analysis and normative analysis,and then introduces Dalian The status quo and problems of family doctors signing service mode in Pulandian district and the improvement tactics of signing service mode of family doctors in Pulandian store in order to improve the work efficiency of family doctor signing service mode and optimize contract service system in Pulandian district,Out of research to guide the value of practice.The study found that family doctors in Dalian signed a "1 + 1 + 1" service mode to form a hierarchical diagnosis and treatment system for different diseases among family doctors,secondary hospitals and tertiary hospitals.Among them,family doctors mainly provide residents with basic disease diagnosis services,Disease prevention and health care and other services,for different service content,with different service processes.Pulandian district family doctor subscription service model,there is the focus of the contract object with less than average,the number of contracting is relatively inadequate,signing the satisfaction rate is not high and the assessment system is not perfect,financial support and subsidy system is not reasonable and other issues,these issues are Caused by both internal and external factors.According to the domestic and international family doctor service pattern,combined with the family doctor in Dalian Pulandian district contract service status quo,improve Pulandian to family doctor signing service mode,first of all should ensure that their family doctor signing service model can insist on fairness,prevention of health care,The principle of full implementation and full support;and then to promote the orderly development of community health services in an all-round way,increase publicity so that the family doctor responsibility system enjoys popular support;strengthen the training of general practitioners,improve the general practitioner’s assurance system And incentive policies;increase more dispensable health resources for family doctors and provide quality medical resources;establish an effective family doctor management model;and improve the family doctor’s encouragement and subsidy system.According to Pulandian existing family doctor service contract analysis found that the key to hinder the full implementation of family doctor service contract is that all the doctors lack of resources,and Pulandian current doctor resources,can not be a lot of input into the family doctor system,and medicine Hospital co-cultivation of new talent,also need more than three years,then by 2020,Pulandian does not have the full implementation of the family doctor service mode and to ensure service efficiency conditions.The situation in Pulandian is a microcosm of the current situation of family doctors in our country.The service mode of family doctors in various parts of our country is ubiquitous.There are many problems such as the shortage of qualified personnel,the overload of existing talents,the low efficiency of service and the lack of active service.Family doctor signed a comprehensive,and to ensure service efficiency,as early as 2022.