大力推进家庭医生签约服务,着力推进分级诊疗制度建设,是深化医药卫生体制改革的重要任务,有利于实现"人人享有基本医疗卫生服务"的目标.本文介绍了我国开展家庭医生签约服务的意义和三阶段目标,以家庭医生签约服务的开展现状为基础,认为其在开展过程中尚存在工作发展不平衡、基层医疗卫生机构服务能力有待提高、保障政策亟需完善、宣传不到位等问题.进一步的工作应重点围绕明确签约服务内容、突出重点人群、强化基层医疗卫生机构服务能力、调动全科医生积极性、强化签约服务吸引力、完善签约服务政策支持、强化信息化支撑、加强宣传8项任务进行,希望这些建议可以为各地区推进家庭医生签约服务提供借鉴.%Vigorously promoting contracted services of family doctors to strengthen the construction of hierarchical medical system is an important task of deepening the reform of the medical and health system, which is conducive to the goal of"providing all people with basic medical and health services". This article introduces the significance and three-stage goals of carrying out contracted services of family doctors in our country. And based on its current situation, it is believed that the development of carrying out contracted services of family doctors is unbalanced, and the service capacity of primary medical and health institutions needs to be improved as well as the security policy with board publicity. Further work should be focused on specific content of contracted services of family doctors, especially in key populations, and mobilizing the enthusiasm of general practitioners to strengthen the attractiveness of family doctor services with strong policy support and information support. It is expected that these suggestions can provide reference for carrying out contracted services of family doctors in China primary health.
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