中国家庭医生制度探索与改革的长宁模式

探索中国的家庭医生制度模式是深化医疗卫生体制改革过程中的重要政策议题。上海市长宁区是国家首批社区卫生服务综合改革试点区,也是最早开展家庭医生服务制度探索和改革的示范区。自2008年起开始逐步探索家庭医生制度至今已有10年时间,为完善家庭医生签约服务,全面建立成熟完善的分级诊疗制度,形成基层首诊、双向转诊、上下联动、急慢分治的合理就医秩序积累了许多可复制、可推广的经验。本专题3篇文章是来自长宁区家庭医生制度综合改革十周年的调查,分别从服务模式、政府协同、绩效考核方面,展示了长宁区家庭医生制度综合改革的具体做法与政策成效。伴随着全国家庭医生签约服务现场推进会的贯彻落实,中国家庭医生制度的长宁模式将为全国各地的家庭医生制度探索与深化改革提供宝贵经验。

The Changning model in the exploration and reform of Chinese family doctor system

Exploring the Chinese family doctor system is an important policy issue in the process of deepening the medical and health care system reform in China. Changning District is the first comprehensive reform pilot area of community health service in the country, and the first demonstration area to explore the family doctor system reform. Since 2008,Changning began to gradually explore the family doctor system, and it has accumulated a lot of experiences which can be copied and extended in signing services to improve the family doctor, the full establish a comprehensive system of hierarchical diagnosis and treatment system, the formation of the reasonable medical order that first primary diagnosis, two-way referral, upper and lower linkage, acute and chronic treatment. The four articles of this topic are from a survey from 10th anniversary of the comprehensive reform of the family doctor system in Changning District, Respectively from the service model, government coordination, performance appraisal and continuing education, to demonstrate the effectiveness of the policy and practice of the comprehensive reform about family doctor system in Changning District. With the implementation of the family doctor service on-site promotion meeting, the Changning model of Chinese family doctor system will provide valuable experience to explore and deepen the reform of the family doctor system.