上海市长宁区家庭责任医生制度探索的政策成效与经验

上海市长宁区探索了家庭责任医生的服务模式、工作机制、培养机制和激励机制，转变了家庭责任医生的服务方式，提高了社区卫生服务的质量和效率，初步建立了家庭责任医生与社区居民的依存性伙伴关系，为构建具有中国特色的家庭责任医生制度改革提供了借鉴。其主要的政策经验包括：以家庭责任医生工作室为载体的服务模式、以家庭责任医生为基础的区域医疗协同服务体系、以信息化为基础的慢性病管理模式、按照时间路径推进的家庭责任医生社区首诊模式和根据服务对象需求提供个性化服务的路径。长宁区的政策实践也表明，改革的推行需要先期进行机构标准化建设、公益性改革以及全科服务团队的培养，以便为家庭责任医生制度改革奠定基础。

Exploration and policy experiences of family doctor system in Changning district, Shanghai

Changning district has built the family doctor training system,working mechanism and incentive systems.It has improved the service quality and efficiency,and has built interdependent partnership between the family doctors and community residents.It provides an exemplary model for the reform of China’s family doctor system.The major policy experiences include the service model carried by family doctors studios,the integrated service system based on family doctors,the chronic disease management model based on information technology,family doctor as the first contact point,and the personalized service path according to individual needs.Changning experiences reveal that the reform of family doctors needs to have some basic conditions including standardized facility constructions,public interest reform and development of general practitioner team.