对深圳市劳务工社区首诊制的思考及其启示

社区首诊制作为分级诊疗的核心要素,对我国卫生服务体制改革的成功起着至关重要的作用。深圳市劳务工社区首诊制的实施,在分流患者方面起到了明显作用,各利益方能够接受该强制性制度。与深圳市相比,我国社区卫生服务发展较好的城市已基本具备社区首诊的能力,在实施社区首诊制的过程中应重视其强制性,以保证制度设计的效果。

Reflection and edification on the system of first contact in community health institutions implemented among migrant workers in Shenzhen

The system of first contact in community health institutions, as the core element of hierarchical diagnosis and treatment system, is of great importance for reforming successfully China' health service system. The system of first contact in community health institutions implemented among labor workers in Shenzhen City plays an important role in patients' distribution and the interested parties can accept this mandatory system. Campared with Shenzhen City, the level of services is enough to meet patients' primary health demands in some cities which the community health service develops well, and it should be thought highly of the mandatory in the process of policy implementation in order to ensure the implementation effect.