| 引用本文：芦炜, 张宜民, 梁鸿, 赵德余, 李妍婷, 刘姗姗, 黄蛟灵.家庭医生制度的发展路径与逻辑阶段分析——基于上海长宁的经验[J].中国卫生政策研究,2016,9(8):10-14 |
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| 家庭医生制度的发展路径与逻辑阶段分析——基于上海长宁的经验 |
| 投稿时间：2016-03-01 修订日期：2016-07-18 PDF全文浏览 HTML全文浏览 |
| 芦炜1, 张宜民2,3, 梁鸿2,3, 赵德余3, 李妍婷2, 刘姗姗2, 黄蛟灵31 |
1. 海南师范大学经济与管理学院 海南 海口 571158;
2. 上海市浦东卫生发展研究院 上海 200129;
3. 复旦大学社会发展与公共政策学院 上海 200433 |
| 摘要:家庭医生制度的探索具有自身发展的客观规律，任何超越当前发展阶段的改革会因缺乏根基土壤而难以长期为继，容易陷入“为改革而改革”的形式主义误区。本文通过系统化总结长宁区家庭医生制度建设的发展历程与经验，探寻出渐进式的改革路径中遵循的基本政策脉络，即完善硬件设施、转变功能定位、创新服务模式、搭建协同平台、构建动力机制五个螺旋式上升的逻辑阶段，以期能对各地家庭医生制度实践产生一定的指导意义。 |
| 关键词:家庭医生制 发展路径 逻辑阶段 长宁区 |
| 基金项目:国家自然科学基金（71403171）；上海市浦东新区卫生和计划生育委员会学科带头人计划（PWRd2014-13） |
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| The development path and logic stage of the family doctor system: Based on experience in Changning District, Shanghai |
| LU Wei1, ZHANG Yi-min2,3, LIANG Hong2,3, ZHAO De-yu3, LI Yan-ting2, LIU Shan-shan2, HUANG Jiao-ling31 |
1. School of Economics and Management, Hainan Normal University, Haikou Hainan 571158, China;
2. Pudong Institute for Health Development, Shanghai 200129, China;
3. School of Social Development and Public Policy, Fudan University, Shanghai 200433, China |
| Abstract:The exploration of the family doctor system has its own objective laws of development. Any reform beyond the current stage of development is difficult to continue for a long time and vulnerable to the “change to change” formalism errors due to the lack of foundation. Based on the specific experience from Changning District, this paper analyses the basic policy logic that the Family Doctor System should follow and summarize a systematic five-stage or gradual process, i.e. increasing hardware facilities, transferring service ability, promoting innovative service models, building collaborative platform, and to build a momentum mechanism. It will have a firm significance to the practice of the family doctor system in other cities. |
| Key words:Family doctor system Development path Logic stage Changning district |
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