我国家庭医生签约服务现状的系统评价

20193363369【】*“”71203101“”KYCX18_1522“333”△*△210023。“”“”“”、、20186。322039。。。Ｒ－1A1004-4663201903－168－05ASystematicＲeviewoftheCurrentStatusofContractingServicesforFamilyDoctorsinChina/YaoYin－yingetal．//TheChineseHealthServiceManagement．AbstractObjectiveTounderstandthecurrentstatusofresearchonfamilydoctors’contractingservicesinChinaandtoan-alyzetheexistingproblemssoastoproposecorrespondingcountermeasures．MethodsSearchingforChinaKnowledgeNetworkWeipuWanfangdatabasewith“FamilyDoctorContractingService”“FamilyDoctorContractingServiceMode”and“TheStatusQuoofFamilyDoctorContractingService”andsystematicreviewoftheliteratureontheestablishmentofdomesticfamilydoctorcontractservicesfromthedatabaseconstructiondatabasetoJune2018．ＲesultsAtotalof32studieswereincludedofwhich20wereinvestigativestudies3wererandomizedcontrolledtrialsand9wereretrospectivestudies．Mostoftheliteraturepointedoutthatthereisinsufficientgovernmentsupportforfamilydoctors’signingservicestheincentivemechanismisnotperfectthecon-structionoffamilydoctorsislaggingbehindtheresidents’participationisnothighandthepropagandaisinsufficient．Conclu-sionItisnecessarytoincreasegovernmentsupportimproverelevantsupportingpoliciesandincentivemechanismsstrengthentheconstructionofgeneralpractitionersincreasepublicityandfurtherpromotetheimplementationoffamilydoctorcontractingserv-ices．Author'saddressAuthor’saddressNanjingUniversityofChineseMedicineNanjingP．Ｒ．ChinaKeywordsfamilydoctorssystematicevaluationstatusquoproblem、、1。。2009《》2016《》2018。。。11.11.1.1、、。1.1.2、。1.1.3、、、、、、、、、。1.1.4、、。1.2“”“”“”、、。20186EndNote。·861·1.323。、、、、、。。22.1239454017477532。1。12.232205781113－1517－2932－4916910121630－3242－417。1。2.32.3.132－4、1315－16717－23、、。624－29。330－32。2.3.2156－8101113141719222327－3014158－131626－293215179－13192327－32101012－1417202326283271611192329321058121315161922－2328。1/2014200/2016800/2018100、2/2018√√/2014√√/2017√√/2017300018√√√/2017√√/2018√√√√/20188√√√√/2015√√√/201511√√√√√/2015√√√/2018√√√/20181200√/2017√√·961·/2018859√√/2016800/2017√√√√/2016√/2017/2017√√/2015√√√√√/20173000500/201810//2015844√√/2016√√√/2018492√√√√√√/2017295√√√/2015√√/2017√/2017√√√√332。、。。3.13.1.1、33。、13。3.1.2。2018《》505570－802015。2015205213.99117836.39、87377.67。3.2、。17.2%11。、。3.33.3.1。WHO25001。。20150.146%、1.540%。、208410.2611。72827。。3.3.234。12。3.4、35。·071·25。3.56。44.1。、。4.2、3.5、3.6。、。、、。4.336。。、、、37。。4.4。、。1．J．2018．217753－760．2．J．2014．111098－100．3．J．2016．292371－373．4．J．2018．9262－64．5．J．2018．39390－93．6．J．2014917－21．7．J．2017．20344248－4252．8．J．2017．20283482－3487．9．J．2017．1426169－172．10．J．20181311－12．11．J．201802140－143+148．12．J．2015．315－17．13．J．2015283413－3416．14．、———、J．201521248．15．．J．2018081125－1128．16．J．201706633－636．17．J．20181145－148．18．J．20161698－99．19．J．201712939－943．20．J．2016．9831－36．21．J．2017．311031－32．22．J．201713188－190．23．、J．2015．29632－33．24．J．2017．192144－147．25．J．20184411－414．210·171·2324。“”。。。。。。4。。1．J．1999313342－348．2SchaufeliWBBakkerABSalanovaM．TheMeasurementofWorkEngagementWithaShortQuestionnaireACross－NationalStudyJ．Educational＆PsychologicalMeasurement．2006664701－716．3．、J．201104181－87．4．J．20161173－174．5．J．200922152－153．6．J．2007304958－960．7．J．201222281－85．8．———D．2017．9．J．2015939－40．10．J．2014343403－407．11．、J．2016244562－565．12．、J．2005375632－636．13．、J．2008164407－409．14．J．201431145－47．15．D．2009．16．UWES－SJ．201003184－88．17．J．2014225731－745．18．J．2004365614－620．19．AMOSM．2009．20．、J．2016337547－549．21．J．201735．22．J．．2016373617－621．23．．200727436－39．24．J．2007226506－508．2018－05－0517126．J．2015101132－1137．27．J．201681243－1246．28．J．20180194－96+138．29．J．20170313－15+25．30．———J．201525192－194．31．J．2017283457－3462．32．J．2017811．33．J．2018160220－23．34．J．2018342211－13+15．35．J．A2018390622－25．36．J．20141707766－769．37．J．2016330287－90．2018－08－20·012·