北京市顺义区家庭医生签约服务现状分析与对策思考
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摘要
随着医药卫生体制改革的深入推进,进一步发挥基层医疗机构中家庭医生的守门人作用,对于实现基层首诊、分级诊疗、双向转诊,建立"小病在社区、大病到医院、康复回社区"的就诊格局有着深远的意义。文章基于当前国家医药卫生体制改革背景之下,讨论和分析顺义区家庭医生签约服务的现状和存在问题,进行深入思考并提出科学合理的应对之策,旨在为政府部门进一步推进和完善家庭医生签约服务、制定相关政策提供科学的依据。
With the deepening of the medical and health system reform, giving full play to family doctors working as gatekeepers in grass-roots medical institutions is of great significance to realize the goal of initial diagnosis at community clinics, hierarchical diagnosis and treatment, and two-way referral, and to establish a three-level triage system of "treating minor illness in community clinics, treating severe diseases in hospitals, and receiving rehabilitation back in the community". In the context of the national medical and health system reform, this article analyzes the status quo of family doctor contract service in Shunyi District of Beijing and proposes a series of scientific and reasonable countermeasures, aiming at providing evidence for government departments to further promote and improve family doctor contract service and develop relevant policies and regulations.
With the deepening of the medical and health system reform, giving full play to family doctors working as gatekeepers in grass-roots medical institutions is of great significance to realize the goal of initial diagnosis at community clinics, hierarchical diagnosis and treatment, and two-way referral, and to establish a three-level triage system of "treating minor illness in community clinics, treating severe diseases in hospitals, and receiving rehabilitation back in the community". In the context of the national medical and health system reform, this article analyzes the status quo of family doctor contract service in Shunyi District of Beijing and proposes a series of scientific and reasonable countermeasures, aiming at providing evidence for government departments to further promote and improve family doctor contract service and develop relevant policies and regulations.
引文
[1]杜丽君,水黎明,林伟良.宁波市江东区家庭医生制度下签约服务模式的实践与探索[J].中华健康管理学杂志,2013, 7(3):212-213.
[2]张玉,马安宁,蔡伟芹,等.国外家庭医生制度对我国社区健康管理的启示[J].社区医学杂志,2011, 9(19):5-6.
[3]沈鹏悦,刘晓珊,李瑞锋.我国家庭医生签约服务发展现状分析[J].中国医药导报, 2017, 14(26):169-172.
[4]北京市人民政府.北京市人民政府办公厅关于进一步推进基层医疗卫生机构综合改革的若干意见[J].北京市人民政府公报,2014(3):6-13.
[5]陈豪.“中西医结合1+1”家庭医生团队服务模式阶段性成效研究[J].中国医院,2018, 22(10):56-57.
[6]国务院.国务院关于建立全科医生制度的指导意见[J].宁夏回族自治区人民政府公报,2011, 10(14):4-8.
[7]张向东,赵京,兰丽娜,等.北京市社区卫生家庭医生式服务模式及激励机制探讨[J].中国全科医学,2014,17(7):766-769.
[8]张敏华,刘诗强,孙雅.社区卫生服务中心实行“收支两条线”管理的实践与思考[J].中国卫生资源,2012,15(3):181-183.
[9]北京市统计局.签而有约服务实更多期待盼落地——北京家庭医生签约服务需求调查居民部分报告[DB/OL].(2018-06-25)[2018-10-25]. http://www.bjstats.gov.cn/zxfb/201806/t20180625_400727.html.
[10]杨志平,刘运芳,樊代明.用整合医学建设新型全科医生队伍[J].中国卫生质量管理, 2017, 24(6):113-116.
[2]张玉,马安宁,蔡伟芹,等.国外家庭医生制度对我国社区健康管理的启示[J].社区医学杂志,2011, 9(19):5-6.
[3]沈鹏悦,刘晓珊,李瑞锋.我国家庭医生签约服务发展现状分析[J].中国医药导报, 2017, 14(26):169-172.
[4]北京市人民政府.北京市人民政府办公厅关于进一步推进基层医疗卫生机构综合改革的若干意见[J].北京市人民政府公报,2014(3):6-13.
[5]陈豪.“中西医结合1+1”家庭医生团队服务模式阶段性成效研究[J].中国医院,2018, 22(10):56-57.
[6]国务院.国务院关于建立全科医生制度的指导意见[J].宁夏回族自治区人民政府公报,2011, 10(14):4-8.
[7]张向东,赵京,兰丽娜,等.北京市社区卫生家庭医生式服务模式及激励机制探讨[J].中国全科医学,2014,17(7):766-769.
[8]张敏华,刘诗强,孙雅.社区卫生服务中心实行“收支两条线”管理的实践与思考[J].中国卫生资源,2012,15(3):181-183.
[9]北京市统计局.签而有约服务实更多期待盼落地——北京家庭医生签约服务需求调查居民部分报告[DB/OL].(2018-06-25)[2018-10-25]. http://www.bjstats.gov.cn/zxfb/201806/t20180625_400727.html.
[10]杨志平,刘运芳,樊代明.用整合医学建设新型全科医生队伍[J].中国卫生质量管理, 2017, 24(6):113-116.