分级诊疗的SWOT分析——以上海家庭医生模式为例

SWOT analysis on hierarchical diagnosis treatment system—— Take family physician model of Shanghai as an example

以上海家庭医生模式为例,用SWOT分析分级诊疗存在的优势、劣势、机遇和挑战。该模式有着医疗信息化建设日趋成熟、医师多点执业逐渐开放以及国家对分级诊疗制度大力推行的政策优势,但也存在基层医院资源配备不足,转诊标准不明确以及医改中的政策冲突和既有利益分配格局难以改变等劣势。建议政府相关部门加大对家庭医生与分级诊疗的激励;加强对基层医院的资源配置;建立统一、规范的转诊标准和制度,以促进分级诊疗制度的落地。

It takes family physician model of Shanghai as an example,uses SWOT to analyze the strengths,weaknesses,opportunities and challenges. This mode has policy advantages that medical informatization construction has gradually ripen,physician multi-sited license has gradually opened,and the nation is energetically pushing hierarchical diagnosis treatment system. But it still has some weaknesses such as inadequate resource equipment of grass-root hospital,unclear transfer treatment standard,policy conflicts in medical reform and benefit distribution pattern that is difficult to change. It suggests that the relevant departments of government should increase the motivation of family doctors and hierarchical diagnosis treatment,strengthen resource equipment of grass-root hospital,establish uniform and standardized transfer treatment standard and system,to promote the implementation of hierarchical diagnosis treatment system.