摘要
全科医生社区首诊制度是实现分级诊疗的关键,该制度的完善,应当在总结全科医生制度改革的实践经验和域外国家或地区有益做法的基础上,以符合制度实践运作规律和民众意愿作为制度的建构理念,坚持统一但有区分表述的制度要求,坚持诱导而非强制性的制度要求并充分发挥基本医保的经济杠杆作用。完善我国全科医生社区首诊制度,必须符合我国国情与医疗卫生事业发展规律,通过科学的制度设计,如签约服务、基本医疗保险报销比例、医疗救助等方面,不断完善该制度,为分级诊疗制度的实现奠定基础。
General practitioner’s community first visit system is the key to achieving grading diagnosis and treatment. The improvement of general practitioner’s community first visit system should be based on summarizing the reform practical experience of general practitioner system and beneficial practices of countries or regions outside the domain. The concept construction of the system should meet law of practice and people’s will, adhering to the system requirements of unity but differentiated expressions, adhering to the system requirements of induction rather than compulsory, and give full play to the economic leverage of basic medical insurance. To perfect the general practitioner’s community first visit system in China, it must conform to China’s national conditions and the development law of medical and health care. Through scientific system design, such as contracting services, basic medical insurance reimbursement ratio, medical assistance, etc., the system will be continuously improved to lay the foundation for the realization of the graded diagnosis and treatment system.
作者
李学成
LI Xue-cheng(Law School,Zhengzhou University of Aeronautics,Zhengzhou 450046,China)
出处
《医学与哲学（A）》
2018年第11期49-52,共4页
Medicine & Philosophy:Humanistic & Social Medicine Edition
关键词
分级诊疗
全科医生
首诊制度
grading diagnosis and treatment
general practitioner
community first visit system
