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为了解家庭医生签约服务工作进展,获得更全面、更真实、更具体的信息,笔者近日走访了包括基层医疗卫生机构管理者和医务人员、综合医院全科医生等在内的多位一线工作人员。大家比较一致的看法是,在推行签约服务的过程中,一些制约基层医疗卫生工作发展的根本性矛盾仍未涉及、未改善。经过梳理,主要集中在以下5个方面。第一,政策宣传不到位。地方政府一定程度上存在“以会议贯彻会议,以文件落实文件”的现象,对国家政策细
In order to understand the progress of family doctor service contract and get more comprehensive, more truthful and more specific information, the author recently visited a number of front-line staff, including managers and medical staff of primary health care institutions, general practitioners and general practitioners . All of us agree that some fundamental contradictions that restrict the development of primary health care work have not been covered and have not been improved in the process of implementing contract services. After carding, mainly in the following five aspects. First, policy advocacy is not in place. Local governments to some extent, “to implement the meeting to document the implementation of documents ” phenomenon, the national policy details