综合医院全科医学科指导基层卫生服务的SWOT分析

以社区卫生服务中心及乡镇卫生院为代表的基层卫生服务机构作为我国医疗卫生系统的重要组成，是提供基本医疗卫生服务的主体，其服务能力建设在构建高效有序的分级诊疗体系中具有重大的战略意义。随着我国医药卫生体制改革的不断推进，基本医疗卫生服务的重要性愈发凸显，但当前我国基层医疗卫生服务发展仍处于初级阶段，基层卫生服务人员不足、质量不高仍是限制基层医疗水平的主要问题。如何探索有效途径，全面提升基层卫生服务能力，已成为推动基层卫生发展的关键所在。近年来，综合医院全科医学科在国家政策支持下，学科建构及基地建设不断完善，作为联系基层与综合医院的桥梁，依靠医疗、教育、科研等优势，有能力、有责任对基层医疗卫生服务的开展进行指导与帮扶，促进上、下级医疗机构的合作交流。本文以SWOT分析法，结合综合医院、社区卫生机构及卫生行政部门相关专家的研讨意见，系统梳理综合医院参与指导基层医疗卫生服务的优势(strengths)、劣势(weaknesses)、机遇(opportunities)和风险(threats)，全面分析综合医院全科医学科指导社区卫生服务的必要性与可行性，并在发挥优势，克服劣势，抓住机遇，规避风险等角度提出相应的发展策略，为进一步提升基层卫生服务能力、推动分级诊疗体系建设提供借鉴和参考。 

SWOT analysis of guiding primary health service by general practice department of general hospital

As an important part of China's medical and health system, the primary health service institutions represented by community health service centers and township health centers are the main body of providing basic medical and health services. The construction of their service capacity has great strategic significance in building an efficient and orderly hierarchical diagnosis and treatment system. With the continuous advancement of China's medical and health system reform, the importance of basic medical and health services has become increasingly prominent. However, the development of primary medical and health services in China is still in its infancy, and the shortage of primary health service personnel and low quality of the primary health services are still the main problems that limit the level of primary health care. Exploring effective ways to comprehensively improve the ability of primary health services has become the key to promoting the development of primary health. In recent years, with the support of national policies, the general practice department of general hospitals has been constantly improving its discipline construction and base construction. Moreover, as a bridge connecting grassroots and general hospitals, the general practice department of general hospitals relying on its advantages of medical treatment, education and scientific research has the ability and responsibility to guide and help the development of grassroots medical and health services, and promote cooperation and exchange between higher and lower medical institutions. Based on SWOT analysis, combined with the ideas of experts from general hospitals, community health institutions and health administrative departments, this paper systematically analyze the strengths, weaknesses, opportunities and threats of a general hospitals participating in the guidance of primary medical and health services, and comprehensively analyzes the necessity and feasibility of general practice department in general hospitals guiding community health services. At the same time, it puts forward corresponding development strategies from the perspectives of exerting advantages, overcoming disadvantages, seizing opportunities and avoiding threats, so as to provide reference for further improving the ability of primary health services and promoting the construction of hierarchical diagnosis and treatment system.