摘要： 目的：了解上海居民对家庭医生的评价，并分析产生这些评价的原因，归纳总结目前的经验与不足，提供一些能够有效改善家庭医生制度的参考建议。方法：采取文献研究与实证研究相结合的方式。文献研究是归纳总结现有的评价体系，实证研究为问卷调查，向居民发放自行设计的问卷。使用SPSS 18.0统计软件，采用描述性分析和卡方检验来分析数据。结果：被调查居民中签约家庭医生的有62位，没有签约的有45位，家庭医生签约率为57.9%。签约居民认为家庭医生的专业水平高的11.3%、较高30.6%、一般38.7%、低的19.4%。认为家庭医生的服务态度好27.4%、较好41.9%、一般21.0%、差的9.7%。结论：签约居民认为家庭医生能够为就诊带来便利，但是服务的水平与质量有所欠缺。可以适当推出改善的政策，例如加强家庭医生的培训，宣传家庭医生制度并进行推广等。

关键词：上海居民；家庭医生；评价

A study on the evaluation of family doctors by Shanghai residents

Abstract：Objective: Understand the evaluation of the family doctors from Shanghai residents and analyze the cause of the evaluation. Summarize the current experience and deficiency, and provide some suggestions to effectively improve the family doctor system. Methods: Use the combination of literature research and empirical research. Literature research is to summarize the existing evaluation system. The empirical study is a questionnaire survey, using a self-designed questionnaire. Analyze the data by descriptive analysis and chi-square test through the SPSS 18.0 statistical software. Results: Among the residents surveyed, 62 signed up family doctors, 45 did not, and the rate of family doctors was 57.9%. The contracted residents believe that the professional level of family doctors is great 11.3%, better 30.6%, general 38.7%, and poor 19.4%. The service attitude of family doctors is great 27.4%, better 41.9%, general 21.0%, and poor 9.7%. Conclusion: The contracted residents believe that family doctors can bring convenience to medical treatment, but the service level and quality are not good enough. Improvements can be introduced appropriately, such as strengthening the training of family doctors, promoting the family doctor system and so on.

KeyWords：Shanghai residents；family doctors；evaluation

目录

一、 绪论 1

（一） 研究背景 1

1、 国外实施的家庭医生制度 1

2、 国内的家庭医生制度 1

3、 上海的家庭医生制度 2

（二） 研究目的 2

（三） 研究意义 2

二、 研究方法 3

（一） 概念界定 3

（二） 文献研究 3

（三） 问卷调查 3

（四） 统计学方法 4

三、 研究结果 4

（一） 文献研究的结果