探索中践行长宁特色家庭医生制服务模式.docVIP

探索中践行长宁特色家庭医生制服务模式 　　摘 要 目的：总结长宁区家庭医生制服务模式的特点和经验，以期为其他城市和地区构建家庭医生制度提供参考。方法：采用二手资料分析及问卷调查的方法，研究长宁模式下家庭医生服务制内涵、服务成效，总结长宁模式的经验及继续推进面临的问题，提出建议。结果：“长宁模式”以全科医生为主体，依托卫生及社区资源，以家庭为最小服务单位、以全面健康管理为目标，以签约式服务为基础，根据居民需求和家庭医生服务能力，搭建社区居民的健康管理平台，逐步构建长期稳定的“伙伴”式关系；全面推进以来，实现了辖区内家庭医生配置全覆盖，提高了居民知晓率和接受度，搭建了居民健康档案信息平台，在服务中逐步构建了良好的伙伴关系；以政府为主导的多部门合作、不断完善的信息化平台、“3-2-1”协同服务、全科服务团队和全科医生队伍建设、鼓励创新和拓展服务内涵、稳扎稳打推进服务范围等做法是长宁模式发展中的宝贵经验；人力资源紧缺、缺乏量化考核指标及规范文件滞后等是长宁进一步推进“家庭医生制”面临的问题和挑战。结论：长宁模式是面向全体，面向未来的服务模式，为优化辖区内卫生资源、改善就医环境与就医模式进行了良好的探索。 　　关键词 家庭医生 服务模式 社区卫生 　　中图分类号：R192 文献标识码：C 文章编号：1006-1533（2012）06-0015-05 　　Exploring in the process of the family doctor service system model of Changning 　　JIANG Ping1, ZHAO Qi2, ZHAO Xiao-ming3, ZHU Jie3, XU Lei3 　　(1. Health Bureau of Changning, Shanghai, 200050; 2. Public Health Collage of Fudan University of Shanghai, Shanghai, 200032; 3.Community Health Management Centre of Changning, Shanghai, 200051) 　　ABSTRACT Objective: To summarize the character and experience of the family doctor service system model in Changning district so as to provide the reference for other cities and districts. Method: The content of family doctor service system and service achievement under the Changning model were studied by adopting the secondary hand data and questionnaire. The experience of Changning model was summarized and the faced problems were studied to put forward the suggestion. Results: Taking the general practitioner as the main force, relying on public health personnel and community as other human resources, Changning model provides the service for the family as the smallest unit, conducts health management overall as the target, signs the service agreement as the base, constructs the community resident health management platform and gradually builds up the fellowship relationship in the health service according to the residents’ requirement and the service capacity of the family doctors. Taking the government as the leading and multi-departments cooperation, th