摘要
阐述了社区卫生服务首诊制的概念及其对规范医疗卫生次序的重要作用,深入分析了限制社区卫生服务首诊制发展的主要因素。从正反两个方面分析了医师多点执业对首诊制的影响:医师多点执业能提高社区卫生人力资源的质量,增强民众对社区卫生机构的信任度;但是医师多点执业也会造成医院和社区卫生机构管理上的问题,医生自身也需要时间适应自身角色的转变。鼓励大医院办社区卫生服务机构,增加社区医疗机构的政府补偿,吸引医师到基层多点执业,增强社区卫生服务首诊的能力。
The paper expounds the concept and importance of the first consultation system, and analyzes the major factors influencing the first consultation system. Besides, analyzes the positive and passive influences of physicians＇ multi-site practice on the first consultation system. Physicians＇ multi-site practice can improve the quality of human resources of community health institutions and enhance public trust in the community health institutions, but physicians＇ multi-site practice also causes some management problems in hospital and community health institutions, and physicians also need time to adapt to change their roles. Setting up community health institutions, increasing the government compensation, and setting up multi-site practice management committee are all help to improve service competency of community health institutions.
出处
《医学与哲学（A）》
北大核心
2014年第5期57-59,共3页
Medicine & Philosophy:Humanistic & Social Medicine Edition
基金
教育部人文社会科学一般项目"城乡统筹条件下基层医疗卫生机构首诊制与双向转诊机制研究"
项目编号:08JA630097
关键词
首诊制
医师多点执业
社区卫生服务
the first consultation system, physicians＇ multi-site practice, community health service
