全科医疗核心特征功能、高绩效作用机制及其政策涵义
发布时间：2018-11-04 15:33
【摘要】：全科医疗是基础保健的核心,已经成为各国高价值卫生保健体系的基石。首诊、可及性、连续性、协调性和综合性五大特征构成了以功能为导向的全科医疗定义的要素。本文从全科医疗定义出发,厘清和归纳全科医疗五大特征功能的定义、内涵及其作用,探索五大特征功能对卫生体系高绩效的作用机制。并对我国全科医疗提出建议:将基层医疗卫生服务体系更名为基础保健体系;以五大核心特征功能为重点,发展强化基础保健体系,促进基层医疗卫生服务转型升级;重点从全科医生数量、薪酬制度、医保采购以及全科医生教育培训体系等方面完善全科医生制度;从组织层面建立有助于实施全科医疗特征功能的管理制度与服务流程。
[Abstract]:General practice is the core of basic health care and has become the cornerstone of high-value health care system. The five features of first diagnosis, accessibility, continuity, coordination and comprehensiveness constitute the essential elements of the functional-oriented definition of general practice. Starting from the definition of general practice, this paper clarifies and sums up the definition, connotation and function of the five features of general practice, and explores the mechanism of the function of the five features on the high performance of health system. Some suggestions are put forward for general medical service in China: changing the name of primary medical service system to basic health care system, developing and strengthening basic health care system and promoting the transformation and upgrading of primary medical and health service with the emphasis on five core features. It focuses on perfecting the general practitioner system from the aspects of the number of general practitioners, salary system, medical insurance procurement and general practitioner education and training system, and sets up the management system and service flow from the organizational level which is helpful to implement the general practice medical characteristic function.
【作者单位】： 中山大学公共卫生学院;凯斯西储大学家庭医学和社区卫生系;
【基金】：广州市医药卫生科技项目(20141A031003) 广东省十三五卫生事业发展研究(粤财社〔2014〕465号)
【分类号】：R197.1
[Abstract]:General practice is the core of basic health care and has become the cornerstone of high-value health care system. The five features of first diagnosis, accessibility, continuity, coordination and comprehensiveness constitute the essential elements of the functional-oriented definition of general practice. Starting from the definition of general practice, this paper clarifies and sums up the definition, connotation and function of the five features of general practice, and explores the mechanism of the function of the five features on the high performance of health system. Some suggestions are put forward for general medical service in China: changing the name of primary medical service system to basic health care system, developing and strengthening basic health care system and promoting the transformation and upgrading of primary medical and health service with the emphasis on five core features. It focuses on perfecting the general practitioner system from the aspects of the number of general practitioners, salary system, medical insurance procurement and general practitioner education and training system, and sets up the management system and service flow from the organizational level which is helpful to implement the general practice medical characteristic function.
【作者单位】： 中山大学公共卫生学院;凯斯西储大学家庭医学和社区卫生系;
【基金】：广州市医药卫生科技项目(20141A031003) 广东省十三五卫生事业发展研究(粤财社〔2014〕465号)
【分类号】：R197.1
【参考文献】
中国期刊全文数据库 前1条
1 祝X≈，
本文编号：2310271
本文链接：https://www.wllwen.com/guanlilunwen/jixiaoguanli/2310271.html
