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目的:通过深圳市福田区开展家庭医生服务存在的问题提出对策。方法:于2011年11月1日~12月1日通过调查问卷及电话随访等方式,对深圳市福田区10家社区健康服务中心开展家庭医生制服务状况进行调查。结果:目前福田区家庭医生服务取得了较大的发展,家庭医生团队建设不断加强、绩效考核体系逐步完善,有开展家庭医生服务的基础;但存在家庭医生人力资源不足、医疗服务水平参差不齐,导致居民不信任,居民传统的医疗观念及卫生政策不配套也影响了新模式的推行。结论:建议在政府主导下加大政策扶持力度,明确工作目标,完善细化工作内容,加强家庭医生人才培养与培训及家庭医生责任服务模式的宣传、科学开展家庭医生制服务绩效评估等。
OBJECTIVE: To put forward countermeasures through the problems existing in the service of family doctors in Futian District, Shenzhen. Methods: From November 1, 2011 to December 1, 2011, questionnaires and telephone follow-up were used to investigate the family doctor service status of 10 community health service centers in Futian District, Shenzhen. Results: At present, the family doctor service in Futian District has made great progress. The construction of the family doctor team has been continuously strengthened and the performance appraisal system has been gradually improved, which provides the basis for the family doctor service. However, there is a lack of human resources for family doctors and the level of medical services is uneven , Leading to the residents do not trust, residents of traditional medical concepts and health policies do not match also affected the implementation of the new model. Conclusion: It is suggested to increase the policy support under the government guidance, clarify the work objectives, improve the detailed work contents, strengthen the training of family doctors and the training of family doctors and the responsibility service mode of family doctors, and scientifically evaluate the performance of family doctor service.