家庭医生签约服务的现实挑战与优化路径
The Practical Challenges and Optimization Paths of Contracted Family Doctor Services

我国老龄化不断加剧，慢性病也慢慢“盯上”了年轻人，大型医院的就诊压力增加，在此背景下，“看病难”的问题也暴露出来。为改善这一现象，国家大力推动家庭医生签约服务的开展，但“签而不约”的现象仍然较为普遍。本文从家庭医生自身、居民、社会三个角度去探讨家庭医生签约服务利用率低存在的原因，原因表明家庭医生人手不足、居民缺乏了解、家庭医生制度不够完善等。对此提出相应的优化路径，即加强人才队伍建设、充分发挥大型公立医院的宣传功能、完善物资采购制度、打破空间壁垒，以期提高利用率，旨在发挥家庭医生制度的最大治理效能。
With the increasing aging of the population in China, chronic diseases are slowly “targeting” young people, and the pressure on large hospitals is increasing. In this context, the problem of “difficulty in seeing a doctor” is also exposed. In order to improve this phenomenon, the state has vigorously promoted the development of contracted family doctor services, but the phenomenon of “signing without appointment” is still relatively common. This paper discusses the reasons for the low utilization rate of family doctors’ contracted services from the perspectives of family doctors themselves, residents, and society. The reasons show that family doctors are insufficient, residents lack understanding, and the family doctor system is not perfect. In this regard, this paper puts forward the corresponding optimization paths, namely, strengthening the construction of talent teams, giving full play to the propaganda function of large public hospitals, improving the material procurement system, and breaking the space barriers, in order to improve the utilization rate and give full play to the maximum governance efficiency of the family doctor system.