Analysis on the policy response and its optimization strategies for family doctors'contractual service in Zhejiang
10.3760/cma.j.issn.1000-6672.2018.04.004
- VernacularTitle:浙江省家庭医生签约服务政策响应及优化策略分析
- Author:
Jun YE
1
;
Peipei GUO
;
Chun CHEN
;
Chunzhe YING
;
Yong YE
;
Xiangyu CHEN
;
Hongjun MA
Author Information
1. 325000,温州医科大学公共卫生与管理学院
- Keywords:
Family physicians;
Contractual service;
Policy response;
Constraints;
Optimal strategies
- From:
Chinese Journal of Hospital Administration
2018;34(4):279-283
- CountryChina
- Language:Chinese
-
Abstract:
The family doctor system is a collection of the rules and operating patterns formed during the interaction between the top design of "universal health coverage" and the "contractual experiment" at primary level. Its optimization and upgrading call for continuous attention to primary policy response. A questionnaire survey was made to medical workers at primary healthcare institutions in Zhejiang,to learn the comments and willingness of participation of family doctors for the contractual service policy. The survey found the poor policy response roots in such constraints as lack of effective connection between top level and primary level,poor incentive design,and delayed supporting policies. In view of upgrading supplier policy response,the authors recommended feasible strategies to optimize policy response, namely priori decision-making,process control,both hard and soft tactics,and parallel efforts for both internal and external sides.
