Objective To understand the status quo and problems of family doctor service in Beijing suburbs and to give corresponding countermeasures and suggestions.
Methods The survey was conducted from September, 2016 to October, 2016 in Beijing, and 10 community health service centers in two suburban districts of Miyun and Huairou were surveyed.
Results A total of 200 questionnaires were issued and 185 valid questionnaires were recovered. The effective rate of the questionnaire was 92.5%. And 160 people (86.5%) whose organization have established family doctor service teams, 167 people (90.3%) have established medical service work systems and responsibilities, and the current institutions to carry out the comprehensive family doctor service 55 people (29.7%); At present, there are 26 people (14%) who can meet the needs of residents' medical service in the community, and the technical level can meet the needs of residents of 55 people (29.7%); there were 52 people (28.1%) in the institution who had incentives to carry out the home medical service, the main motivation mode is oral motivation, which were 25 (48.1%) of these incentives to mobilize the enthusiasm of medical staff; 58 (31.4%) were reluctant to become involved a medical service team. The main reason is that the work is difficult to carry out and the existing workload is great, community medical staff considered suitable for suburbs residents service is the main way of booking services, telephone consultation, and in clinic.
Conclusion At present, there are still many obstacles to the operation of the family doctor service in the suburbs of Beijing. In order to better realize the full coverage of the family doctor service, the following countermeasures are put forward:to make the content and mode of family doctor service according to local characteristics;to improve the training mechanism of family doctors; and to explore effective family doctor service incentive mechanism.
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