上海市长宁区家庭责任医生制度改革的政策难点与创新路径

Difficulties and innovations of family doctor reform in Changning district,Shanghai

构建有特色的家庭责任医生制度需要符合社区卫生服务的发展规律和价值取向。上海市长宁区家庭责任医生制度改革的政策难点在于如何将自上而下的政策推进与自下而上的实践探索相结合,在发展过程中总结出实现改革目标的可操作路径。依照提供有价值的服务这一核心的政策目标指向,长宁区家庭责任医生制度改革需要在宣传工作、培训机制、激励制度、服务模式、组织管理、信息化建设、慢病管理、签约服务模式、自我管理小组以及家庭医生社区化等方面进行机制创新,以期为未来的社区卫生服务改革政策提供经验和依据。

Family doctor system is in line with future development of community health services ented. The difficulties faced by Changning family doctor system reform is how to combine the top-down tives the bottom-up community health services practices, and to explore a feasible path to achieve jectives in the development process. In accordance with the key values of community health services, family doctor in Changning district needs to promote dissemination, training, incentive systems, service el, organizational management, information technology, chronic disease management, contract based and value-off- policies initia- the reform ob- the reform of delivery rood- service provi- sion, self-management as well as community-based family doctors, to provide experiences and evidence for the future decision-making of community health services.