| 引用本文：黄蛟灵, 梁鸿, 张宜民, 王欣国, 张伟胜, 张建敏, 汪潮, 陈翔.家庭医生制度本土化困境与策略:以上海市虹口区为例[J].中国卫生政策研究,2016,9(8):37-43 |
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| 家庭医生制度本土化困境与策略:以上海市虹口区为例 |
| 投稿时间：2016-01-01 修订日期：2016-04-25 PDF全文浏览 HTML全文浏览 |
| 黄蛟灵1, 梁鸿1,2, 张宜民2, 王欣国1, 张伟胜3, 张建敏3, 汪潮3, 陈翔31 |
1. 复旦大学社会发展与公共政策学院 上海 200433;
2. 上海市浦东卫生发展研究院 上海 200233;
3. 上海市虹口区卫生和计划生育委员会 上海 200086 |
| 摘要:家庭医生制度在我国医疗卫生体系中发挥着日益重要的作用。英国模式的经验表明家庭医生制度的建立需要四大基本要素，即健全的人才队伍、有效的激励手段、畅通的转诊渠道、居民需求服务导向。我国家庭医生本土化的过程中这四大要素仍然较为薄弱，如何在此现实条件下推进家庭医生制度的发展成为亟需解决的问题。本文以上海市虹口区为例，从组织创新的角度探讨家庭医生在我国的推进策略，挖掘其价值贡献以及对我国家庭医生发展的政策启示。 |
| 关键词:家庭医生 本土化 推进策略 模式特征 价值贡献 |
| 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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| Promoting the localization dilemma and strategy for the family doctor system: A case study of Hongkou District, Shanghai |
| HUANG Jiao-ling1, LIANG Hong1,2, ZHANG Yi-min2, WANG Xin-guo1, ZHANG Wei-sheng3, ZHANG Jian-min3, WANG Chao3, CHEN Xiang31 |
1. School of Social Development and Public Policy, Fudan University, Shanghai 200433, China;
2. Pudong Institute for Health Development, Shanghai 200233, China;
3. Shanghai Hongkou District Health and Family Planning Commission, Shanghai 200086, China |
| Abstract:The Family Doctor System has played and is still playing an increasingly significant role in Health Care System in China. The British GP experience shows that a Family Doctor System requires four elements to be successfully established; namely sound personnel, effective incentive approach, smooth referral channels, and service-oriented needs of residents. Currently, the family doctor localization process of these four elements is still relatively weak in China. The very urgent problem becomes how to promote the development of the Family Doctor System under realistic conditions. This paper reveals a promotion strategy from the organizational innovation perspective considering a case from Hongkou District, Shanghai, all through the investigation of the Family Doctor System Performance while taping the strategic value of contributions and policy implications for the development of family doctors. |
| Key words:Family doctor Localization Strategy Mode feature Value contribution |
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