为了解海南省家庭医生的基本情况、工作现状和职业满意度情况,并探讨改善职业满意度的措施,采用随机抽样法,在海南省已经开始试行家庭医生签约服务的社区卫生服务机构中抽取几家社区卫生服务中心/站、卫生院,对180名医务人员进行问卷调查.研究结果显示,家庭医生以男性为主(73%),学历以高中或中专为主(47%),平均收入大概在3000~5000元范围内(47%),执业类型以护士为主(42%),从事工作年限一般在五年以上(71%),听说过家庭医生式服务(90%),了解海南省家庭医生服务的相关政策(69%),认为家庭医生的出现符合海南的现状(73%),工作时间小于或等于8小时(61%),感觉工作压力较大(57%);71%的医务人员认为进行家庭医生培训是为了能更好地为病人排忧解难;71%没有参加过家庭医生的培训;74.7%对职业满意度选择不满意或一般.最后得出结论:多渠道、全方位加强家庭医生人才队伍的培养;签约到具体医生,落实家庭医生激励制度.

From Hainan Health Yearbook 2015,we collected and analyzed the data of general status of grassroots medical institutions in Hainan,and studied the status and challenges in the delivery of family doctors' contract - signing services. The challenges in family doctors' contract - signing services delivery were summarized as follows:insufficient government investment (1168357500 yuan in 2015);insufficient family doctors (1020 cases);low salary for family doctors (per wages income of 56760. 80 yuan ); unsatisfactory service capabilities of family doctors; insufficient policy support; poor informatization construction and so on. In view of these,based on referring to the experience of other domestic areas in which the service has been offered,we proposed tailor - made solutions:developing a scheme consisting of " one contract and three systems";accelerating the service development by multi - departments cooperation and support systems construction;facilitating the community - based first - contact care development and improving the dual referral system in stages;training general practitioners with great efforts and enhancing the service capabilities of grassroots medical institutions;building provincial - level medical and healthcare online platform;establishing a scientific system for the assessment of the service delivery. All these would lead to the effective implementation of the family doctors' contact - signing services.