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国务院医改办以及多个相关部门经研究共同颁布了《关于推进家庭医生签约服务的指导意见》的文件,文件中明确提出了从2017年到2020年的家庭医生签约服务的相关战略目标。目标指出到2020年,社区居民家庭医生的签约服务扩大到全体人群,也就是社区居民和家庭医生的签约率基本达到100%。并且和医生的签约长期稳定。《意见》发布之后,吉林省各部门也出台了相应的政策,一致认为国家层面这个《意见》发的很及时很好,但真正实施之后发现,不论是居民还是医生,签约积极性都并不高,平均签约率不足10%。
The Medical Reform Office of the State Council and a number of relevant departments jointly issued the document “Guiding Opinions on Promoting Subscription Services for Family Physicians”, which clearly set forth the relevant strategic goals for signing family doctor services from 2017 to 2020. The target points out that by 2020, the subscription service for community-based family doctors will be extended to the entire population, that is, the signing rate of community residents and family doctors will reach 100% basically. And the long-term and stable contract with the doctor. After the release of “Opinions”, various departments in Jilin Province also promulgated corresponding policies and unanimously agreed that the “opinion” made at the national level was timely and very good. However, after the implementation of the “Opinions”, both residents and doctors found that the enthusiasm for signing contracts was not high , The average signing rate of less than 10%.