Literature analysis on the implementation effect of family physicians contracted service policy in China
Cui Mengyu, Yu Qianqian, Yin Wenqiang, Huang Dongmei, Sun Kui, Chen Zhongming, Guo Hongwei, Li Yanli, Zhao Chunwen
Published 2019-08-02
Cite as Chin J Hosp Admin, 2019, 35(8): 652-656. DOI: 10.3760/cma.j.issn.1000-6672.2019.08.009
Abstract
ObjectiveTo study the implementation effects of China′s contracted service policy for family physicians.
MethodsSystematic evaluation method was used to extract, describe and analyze the literature information of the research on the implementation effect of family physicians contracted service policy.
ResultsA total of 80 papers of four types were rounded up, including 47 on the effect of health management on patients with chronic diseases, 11 on the effect of health management on the elderly, 15 on the effect on the first diagnosis in the community, and 7 on the effect on the control of medical expenses.The research is mostly distributed in the developed areas in the east.The family physicians contracted service promotes the health management effect of patients with chronic diseases and the elderlies, improves the first visit ratio of residents at their community, and effectively controls the medical expenses.Existing research shows that such a service has achieved initial success.However, the research also identified such common problems as the shortage and low competence of family physicians, low quality, resource integration and inadequate policy publicity.
ConclusionsThe contracted service policy in China has begun to play the role of " health gatekeeper" and " cost gatekeeper" to some extent.It is suggested to strengthen the training of general practitioners, establish and perfect incentive mechanism, and improve the construction of information platform, while the implementation effect of contracted services for family physicians deserve further study in a broader scope, deeper level and design specifications.
Key words:
Family physicians; Contracted service; Implementation effect; Literature review
Contributor Information
Cui Mengyu
School of Public Health and Management, Weifang Medical University, " Health Shandong" Major Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
Yu Qianqian
School of Public Health and Management, Weifang Medical University, " Health Shandong" Major Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
Yin Wenqiang
School of Public Health and Management, Weifang Medical University, " Health Shandong" Major Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
Huang Dongmei
School of Public Health and Management, Weifang Medical University, " Health Shandong" Major Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
Sun Kui
School of Public Health and Management, Weifang Medical University, " Health Shandong" Major Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
Chen Zhongming
School of Public Health and Management, Weifang Medical University, " Health Shandong" Major Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
Guo Hongwei
School of Public Health and Management, Weifang Medical University, " Health Shandong" Major Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
Li Yanli
Library of Weifang Medical University, Weifang 261053, China
Zhao Chunwen
School of Public Health and Management, Weifang Medical University, " Health Shandong" Major Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, China
