引用本文:杨小亭,贺小林,梁鸿.上海市长宁区家庭责任医生制度改革的政策难点与创新路径[J].中国卫生政策研究,2012,5(6):21-25 |
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上海市长宁区家庭责任医生制度改革的政策难点与创新路径 |
投稿时间:2012-05-11 修订日期:2012-05-30 PDF全文浏览 HTML全文浏览 |
杨小亭1, 贺小林1, 梁鸿1 |
复旦大学社会发展与公共政策学院 |
摘要:构建有特色的家庭责任医生制度需要符合社区卫生服务的发展规律和价值取向。上海市长宁区家庭责任医生制度改革的政策难点在于如何将自上而下的政策推进与自下而上的实践探索相结合,在发展过程中总结出实现改革目标的可操作路径。依照提供有价值的服务这一核心的政策目标指向,长宁区家庭责任医生制度改革需要在宣传工作、培训机制、激励制度、服务模式、组织管理、信息化建设、慢病管理、签约服务模式、自我管理小组以及家庭医生社区化等方面进行机制创新,以期为未来的社区卫生服务改革政策提供经验和依据。 |
关键词:家庭责任医生 政策难点 创新路径 |
基金项目:2009年国家社会科学基金重大项目(09&ZD059);上海市实施家庭医生制度研究(2010HP009) |
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Difficulties and innovations of family doctor reform in Changning district, Shanghai |
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Abstract:Family doctor system is in line with future development of community health services and value oriented. The difficulties faced by Changning family doctor system reform is how to combine the top down policies initiatives with the bottom up community health services practices, and to explore a feasible path to achieve the reform objectives in the development process. In accordance with the key values of community health services, the reform of family doctor in Changning district needs to promote dissemination, training, incentive systems, service delivery model, organizational management, information technology, chronic disease management, contract based service provision, self management as well as community based family doctors, to provide experiences and evidence for the future decision making of community health services. |
Key words:Family doctor Policy difficulty Innovative path |
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