【摘要】 目的探究上海市实施家庭医生服务模式可行性,并提出适合上海市实际的家庭医生服务模式。方法通过总结分析国内外家庭医生制的特点,深入探讨上海市部分区、县先试先行的情况,以上海市社区卫生发展现状为依据,综合应用文献查阅、关键知情人访谈和专家咨询等研究方法,从政府财力投入、人力资源配置、卫生经费管理制度、服务人群和服务内容等方面初步判断推行家庭医生制的可行性。结果家庭医生制可以分为完全型全人群、完全型重点人群、非完全型全人群、非完全型重点人群和非完全型服务利用人群五类服务模式。结合上海市实际,建议选择有条件的区、县开展非完全型服务利用人群家庭医生制服务模式试点,建立规范的服务流程和有效的管理模式,完善各项相关配套政策,并在此基础上逐步向完全型家庭医生服务模式过渡。结论开展家庭医生服务模式是社区卫生服务发展的必然趋势,选择适合上海市实际的家庭医生服务模式进行试点,有利于改革的逐步推进和最终的完善。更多还原

【Abstract】 OBJECTIVE The paper aimed to explore the feasibility of implementing Family Doctor Service Model(FDSM)in Shanghai, and to propose the suitable service model to meet the health needs in the context of socioeconomic development in Shanghai. METHODS The study was based on the analyze of FDSM implemented in countries over the world, and the exploration cases in some regions of China, as well as in Shanghai. The study then employed key player interview and expert consultation to address the feasibility of FDSM in Shanghai. RESULTS FDSM can be classified into five categories. In the context of socioeconomic development in Shanghai, it is recommended to pilot the incomplete FDSM among the population using community health service in districts have sound foundation in community health service development. It is expected that the pilot will help standardize the service procedure, and service content, and help modify the policy. CONCLUSION FDSM is the inevitable trend of community healthcare development. Pilots on suitable models of family doctor service are recommended for further policy modification.更多还原