| 引用本文：何江江,杨颖华,张天晔,等.上海市家庭医生制度的实施进展与发展瓶颈[J].中国卫生政策研究,2014,7(9):14-18 |
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| 上海市家庭医生制度的实施进展与发展瓶颈 |
| 投稿时间：2014-08-16 修订日期：2014-09-17 PDF全文浏览 HTML全文浏览 |
| 何江江1,2, 杨颖华3, 张天晔3, 谢春艳1, 汤真清2, 曹萌2, 刘红炜3, 胡善联1,2 |
| 1.上海市卫生发展研究中心 上海 200040;2.复旦大学公共卫生学院 上海 200032;3.上海市卫生和计划生育委员会 上海 200125 |
| 摘要:上海市从1997年开始加强社区卫生服务体系建设，在经历了“服务框架和网络建立期”和“运行机制改革期”后，在2011年正式进入以家庭医生制度为核心的“内涵建设期”。本文通过梳理上海市家庭医生制度相关政策文件，总结了这项制度的构建背景、目标以及核心内容，同时基于2013年度上海市家庭医生制度监测评估报告，从制度覆盖、居民签约、服务模式和运行机制四个方面总结了这项制度的实施进展，并从政策本身、服务主体、服务监管和服务客体等四个层面分析了这项制度目前的发展瓶颈，针对性地提出了政策建议，以期为我国进一步推进全科医生制度建设提供借鉴。 |
| 关键词:家庭医生制度 全科医生 政策评价 卫生改革 社区卫生服务 |
| 基金项目:上海市卫生局卫生政策研究课题（2012HP005）；美国中华医学基金会合作项目（11-061） |
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| Progress and bottlenecks of family doctor system in Shanghai |
| HE Jiang-jiang1,2, YANG Ying-hua3, ZHANG Tian-ye3, XIE Chun-yan1, TANG Zhen-qing2, CAO Meng2, LIU Hong-wei3, HU Shan-lian1,2 |
| 1.Shanghai Health Development Research Center, Shanghai 200040, China;2.School of Public Health, Fudan University, Shanghai 200032, China;3.Shanghai Municipal Health and Family Planning Commission, Shanghai 200125, China |
| Abstract:Shanghai began to strengthen the community health service system in 1997, and had officially entered the period of "connotation construction" with the core policy of family doctor system in 2011 after the period of "service framework and network establishment" and "operational mechanism reform". Through summarizing the policy files related the family doctor system and based on 2013 report on monitoring and evaluation of family doctor system in Shanghai, the paper presented the progress of the system from aspects of system coverage, signature relationship, service mode and operational mechanism, and analyzed the development bottlenecks of the system from aspects of the policy itself, service principal, service supervision and service objects. Finally, the paper proposed some suggestions in order to give some references for further development of national general practitioner system. |
| Key words:Family doctor system General practitioners Policy evaluation Healthcare reform Community health services |
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