Taking Dafeng county of Jiangsu province as a pilot, this paper analyzed the mechanism of the family physicians′contracted service for achieving the hierarchical medical system. Such a system is designed to promote the contracted service of family physicians, comprising health management, convenient medical treatment, opinion leader, IT-based power, and capability enhancement. Authors of the paper rounded up data of the sample township from 2015 to 2017, and the practical effect of the family physicians′contracted service in promoting the hierarchical medical system. Their recommendations include:currently focusing on targeted groups and population of chronic diseases; elevating the contracting rate of pregnant women and children; motivating countywide medical communities in the promotion of the family physicians′contracted service, for joint efforts in developing the hierarchical medical system; leveraging the showcase of Dafeng for achieving the hierarchical medical system fitting local needs.%以江苏省盐城市大丰区为典型地区,对家庭医生签约服务促进分级诊疗目标实现的作用机制进行分析,构建融合健康管理、便捷就医、意见领袖、信息化助力、能力助动5个促动点为一体的家庭医生签约服务机制.结合2015年至2017年样本乡镇数据,总结家庭医生签约服务的实际效果.建议现阶段签约服务宜抓重点人群和慢性病人群,重点提高孕产妇和儿童签约率;发挥县域医疗共同体对家庭医生签约服务的带动作用,共同促进分级诊疗制度建设; 发挥江苏大丰模式的示范作用,因地制宜实现分级诊疗目标.
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