Strengthen the mechanism to encourage general hospitals to participate in the family doctor contract service

The advancement of high-quality contracted family doctor services is an inevitable consequence of the need to fully mobilize the strength of general practitioners in order to continuously increase the supply capacity and connotation construction of contracted services in the new era. This is also one of the important work contents of the general practice department of general hospitals. The policy strongly advocates that general practitioners in secondary and tertiary hospitals should be directly involved in the signing service of family doctors. However, the general practice department of the general hospital itself is confronted with a number of challenges, including a shortage of personnel, a lack of clarity regarding job responsibilities, an uncertain disciplinary positioning, a lack of competitiveness in disciplines, and an unclear development trajectory. Presently, the primary role of general practitioners in secondary and tertiary hospitals is to join the family medical team of primary medical and health institutions, assuming technical guidance, two-way referral and other responsibilities. They do not generally carry out family doctor contract services as family doctors in primary medical and health institutions. Presently, several issues persist, including inadequate motivation, uncertain identity, and insufficient support and assurance. This paper commences with an examination of the policy environment, social environment, current situation, and pertinent mechanisms of general practitioners participating in the signing of family doctors. It then proceeds to propose the following suggestions. It is recommended that improvements be made to the construction of publicity and guidance mechanisms, signing service mechanisms, talent training mechanisms and other related mechanisms. First and foremost, it is imperative to enhance the publicity and guidance measures to reinforce the recognition of general practitioners ' involvement in family doctor signing policies. Furthermore, the formulation of pertinent operational mechanisms and standards based on demand is essential. This should be accompanied by the provision of policy support and the assurance of work guarantees, with a view to fostering continuous improvement in awareness and the formulation of norms at the level of policy and practice. This will ensure the necessary support and guarantees for the implementation of relevant policies. Furthermore, it offers suggestions for general practitioners in general hospitals to engage extensively in the contractual work of family doctors, thereby facilitating the continuous advancement of high-quality family doctor contractual services and enhancing residents ' perception of the value derived from healthcare.