中国家庭医生制度探索与改革的长宁模式

发布时间：2019-03-26 14:31

【摘要】：探索中国的家庭医生制度模式是深化医疗卫生体制改革过程中的重要政策议题。上海市长宁区是国家首批社区卫生服务综合改革试点区,也是最早开展家庭医生服务制度探索和改革的示范区。自2008年起开始逐步探索家庭医生制度至今已有10年时间,为完善家庭医生签约服务,全面建立成熟完善的分级诊疗制度,形成基层首诊、双向转诊、上下联动、急慢分治的合理就医秩序积累了许多可复制、可推广的经验。本专题3篇文章是来自长宁区家庭医生制度综合改革十周年的调查,分别从服务模式、政府协同、绩效考核方面,展示了长宁区家庭医生制度综合改革的具体做法与政策成效。伴随着全国家庭医生签约服务现场推进会的贯彻落实,中国家庭医生制度的长宁模式将为全国各地的家庭医生制度探索与深化改革提供宝贵经验。
[Abstract]:Exploring the pattern of family doctor system in China is an important policy issue in the process of deepening the reform of medical and health system. Changning District of Shanghai is one of the first pilot areas for comprehensive reform of community health services in Shanghai. It is also the first demonstration area to explore and reform the family doctor service system. Since 2008, we have been gradually exploring the family doctor system for 10 years. In order to improve the contract service of family doctors, establish a mature and perfect hierarchical diagnosis and treatment system in an all-round way, form the first consultation at the grass-roots level, two-way referrals, and linkage between the upper and lower levels. The rational medical treatment order of urgent and slow treatment has accumulated a lot of experience that can be replicated and popularized. Three articles on this topic are from the tenth anniversary of the comprehensive reform of the family doctor system in Changning District. From the aspects of service mode, government coordination and performance appraisal, the concrete practices and policy results of the comprehensive reform of the family doctor system in Changning District are shown. The Changning model of family doctor system in China will provide valuable experience for exploring and deepening the reform of family doctor system all over the country along with the implementation of the National Family Doctor signing Service on-the-spot Promotion Association.
【作者单位】：复旦大学社会发展与公共政策学院;中共上海市委党校(上海行政学院)城市社会研究所;
【基金】：国家自然科学基金项目(71403171) 2017年上海市政府决策咨询重点项目(2017-A-053-A)
【分类号】：R197.1

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