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目的:总结在社区实行家庭医生责任制的实践效果和体会。方法:以2015年1~3月自愿与杨汛桥镇卫生院服务站签订家庭医生责任制服务协议的20户居民61例作为实施组,同时选择同区域社区的20户居民59例作为对照研究对象,设为未实施组,比较两组社区居民首诊率、健康体检率、上门服务率、健康知识掌握程度、居民满意度等多项指标。结果:实施组家庭医生服务的工作效率与服务效果,显著高于未实施组(P<0.05)。结论:在社区推行家庭医生责任制并积极实践,可有效提高社区居民的健康意识及健康水平。但现阶段社区医生责任制推行中也存在全科医生少、考核方法不够规范等问题,有待在此后工作中改进。
OBJECTIVE: To summarize the practical effect and experience of implementing the family doctor’s responsibility system in the community. Methods: From January to March 2015, 61 residents of 20 households who voluntarily signed a family doctor service agreement with the service center of Yangxunqiao Township Hospital were selected as the implementation group and 59 residents of 20 households in the same district were selected as the control study The subjects were set as the un-implemented group. The first visit rate, health check-up rate, on-site service rate, health knowledge mastery degree, resident satisfaction and so on were compared among the two groups. Results: The work efficiency and service effect of family doctor service in the implementation group were significantly higher than those in the non-implementation group (P <0.05). Conclusion: The implementation of the family doctor responsibility system in the community and active practice can effectively improve the health awareness and health of community residents. However, there are also some problems such as the lack of general practitioners and the poor standard of assessment in the implementation of the community doctor accountability system at this stage, which needs to be improved afterwards.