摘要
大力发展社区卫生服务,已成为提高居民的健康水平、控制医疗费用过快增长的普遍共识。国外的基层医疗卫生服务体系经过多年的发展,已基本形成比较完备的体系,特别是其所建立的家庭医生制度以及家庭医生首诊制度,使得健康守门人制度在提高居民健康水平、分级就诊等方面起到了巨大作用。本文在回顾国内外关于健康守门人制度的特点及实践基础上,阐述了建立健康守门人制度的意义。同时在中国医疗卫生改革中,就如何加强社区卫生服务的发展,构建具有中国特色的健康守门人制度提出了政策建议,如规范社区卫生服务功能,推进社区卫生服务模式改革;加强人才队伍建设;加强政策支持和财政补助;加强社区信息化网络建设等。
It is a general consensus about to improving the health of residents and reducing the excessive growth of medical costs by developing community health services.After years of development,the foreign primary medical care and health service system has basically formed a relatively complete system.Especially their family doctor system,and the first diagnosis of the family doctor system,health gatekeeper system has played a huge role in improving the health of residents,in the level of classification treatment and so on.On the basis of reviewing the characteristics and practical health gatekeeper system to the domestic and foreign,the authors expound the significance of the healthy gatekeeper system.And at the same,the authors also give some advice on how to strengthen the development of community health services so as to building health-gatekeeper system with Chinese characteristics at the China＇s health care reform,such as formulating the norms of the community health service,promoting the reform of the Community Health Service;strengthening the development of qualified personnel;strengthening policy support and financial assistance;strengthening community information network construction,etc.
出处
《中华全科医学》
2013年第3期333-333,340,共2页
Chinese Journal of General Practice
基金
国家自然科学基金项目:基于患者信任的医疗质量服务改进研究(70973078)
上海交通大学文理交叉基金:上海市家庭医疗体系构建与医保支付制度衔接研究(10JCY05)
上海交通大学研究生创新能力培养专项基金项目:上海市家庭医疗体系的构建研究(Z-120-003)
关键词
社区卫生服务
健康守门人
中国医疗卫生改革
Community health service
Health gatekeepers
China＇s health care reform
