开展家庭医师签约服务的体会
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开展家庭医师签约服务的体会
作者:孟仲莹 杜兆辉
来源:《上海医药》2012年第22期
摘 要 上海市浦东新区卫生局关于《实施全科医师家庭责任制实施方案》提出了以实现社区内所有家庭都有自己的家庭医生、指导患者避免重“医”轻“防”、建立社区人群健康综合管理体系的目标。作为率先开展全科医师家庭签约服务的试点单位之一,上海市浦东新区某社区卫生服务中心自2010年下半年起,全面启动了家庭医生责任制服务,采用边实践、边发现问题、边解决问题的办法,经过一年多的实施运作,取得了一些经验与体会。
关键词 全科医师 签约 服务
中图分类号:R197.1 文献标识码:A 文章编号:1006-1533(2012)22-0021-04
The experience of development of family doctors signing the contracts with the community residents
MENG Zhong-ying, DU Zhao-hui
(Weifang Community Health Service Center of Pudong New Area, Shanghai 200122, China)
ABSTRACT The implementation program of the general practitioners household responsibility system” issued by Shanghai Pudong New Area Health Bureau puts forward to realize the goal that all the families have their own family doctors, who guide the patients to avoid “paying attention to medical treatment and underrating prevention “ and establishes the community population health management system. As one of the pilot units of the leading general practitioner signing family contracts in Shanghai, a community health service center of Pudong New Area has performed the responsibility system of family doctors service since the second half of 2010 and has achieved some experience after more than one year implementation while practicing and finding the solution to the problems.
KEY WORDS general practitioners;signing contract;service
完善以社区卫生服务为基础的新型城市医疗卫生服务体系,“保基本、强基层、建机制”,即增强基层医疗卫生机构的服务能力,健全基本医疗卫生服务网络[1]是国务院发布的新一轮“医改方案”重要内容之一。上海市正在持续推进家庭医生制度建设[2],以维护社区居民健康为中心,以转变社区卫生服务模式,坚持主动服务、推行全科医师签约服务责任制为目标,让全科医师逐步承担起居民健康“守门人”的职责,为社区居民提供疾病预防控制等公共卫生服务和一般常见病、多发病、慢性病的初级诊疗服务。