建设以全科医生为核心的中国家庭医学服务诊所的探讨  

Setup of General Practitioner-led Family Medicine Clinics in China

作　　者：徐国平[1] 牛丽娟[2] 王家骥[3] 

机构地区：[1]约翰霍普金斯大学,美国马里兰州巴尔的摩市21211 [2]安徽高等医学专科学校 [3]广州医科大学公共卫生学院

出　　处：《中国全科医学》2016年第1期1-7,共7页Chinese General Practice

摘　　要：2009年国家新医改方案确定了建设中国基本医疗卫生服务制度,最终达到全国居民人人享有基本医疗卫生服务的宏伟计划。建设结构合理、覆盖城乡医疗卫生服务体系的基础是建设好基层医疗卫生机构,即农村乡镇卫生院和城市社区卫生服务中心,完善高效规范的运行机制。加强基层医疗卫生人才队伍建设,特别是正规(5+3)全科医生的培养,是着力提高基层医疗卫生机构服务水平和质量的重要环节。本文根据发达国家的成熟经验结合中国目前的现实情况和将来的发展方向提出建设以全科医生为核心,具有中国特色的规范化家庭医学服务诊所(Family Medicine Clinic,FMC)的概念、原则和方法。认为创建合理有效的基层医疗服务运行机制和建立以高质量全科主治医生为核心团队的服务体系是成功建设中国基本医疗卫生服务制度的关键。In 2009 Chinese government promulgated an ambitious plan to establish a primary healthcare system and to provide universal coverage for all 1. 3 billion residents. The foundation for building an accessible, high quality and efficient primary health care system is to set up rural township hospitals and urban community health centers with a standardized and efficient performance mechanism. Building up a well trained primary care workforce- general practitioners（ 5 ＋ 3） to practice in rural and urban communities is crucial for providing high quality care for all residents. This article described the concept,principles and methods for the setup of general practitioner- led family medicine clinic（ FMC） in China by incorporating successful models from other countries into China＇s current and future context in primary health care development. A dynamic,well performing family medicine clinic with attending general practitioner- led teams to provide high quality care is pivotal for the success in China＇s primary health care cause.

关 键 词：基本医疗卫生服务 社区卫生服务中心 乡镇卫生院 全科医生 家庭医学服务诊所 

分 类 号：R197[医药卫生—卫生事业管理]