从“签约无感”到多方式互动 家庭医生如何更好发挥作用？（健康焦点）

Core Viewpoint - The article discusses the measures taken by the National Health Commission and other departments to enhance the experience of residents with family doctor signing services, emphasizing the shift from merely increasing signing rates to improving the quality of services provided by family doctors [1][12]. Group 1: Family Doctor Services - Family doctors provide essential medical and public health services, including regular health check-ups and home visits for vulnerable populations such as the elderly and those with chronic conditions [2][3]. - By the end of 2024, over 480,000 family doctor teams are expected to serve signed residents, with a signing rate for key populations exceeding 80% [2]. Group 2: Resident Experience and Satisfaction - Many residents, especially the elderly and those with chronic diseases, have a high evaluation of family doctor services, while some younger residents feel less connected to their family doctors [5][6]. - There is a need for improved service quality and better awareness among residents regarding the benefits of family doctor services [5][6]. Group 3: Challenges and Mechanism Improvement - The article highlights the common issue of "signing without service" and the need for a long-term mechanism to enhance the effectiveness of family doctor services [8][9]. - The lack of medical personnel at the grassroots level is a significant challenge, with family doctor teams often serving 1,000 to 2,000 residents each [9][10]. Group 4: Financial and Policy Support - Current subsidies for family doctor services are low, with an average of less than 200 yuan per month for each family doctor, which affects their motivation and service quality [10]. - There are suggestions for the central and provincial governments to allocate specific funding for family doctor services based on the number of signed residents [10]. Group 5: Future Directions - The article suggests developing personalized service packages for different demographics, such as the elderly and chronic disease patients, to enhance engagement and health management [7][12]. - Establishing a smooth referral system and breaking down information barriers between community health centers and higher-level hospitals is crucial for improving service delivery [11].