我国城市社区首诊制度研究综述  

Research and Review on the Implementation of Urban Community Gatekeeping in China

作　　者：宋宿杭[1,2] 何莉[1,2] 梁思园 金音子[1,2] 孟庆跃[1,2] 

机构地区：[1]北京大学中国卫生发展研究中心,北京100191 [2]北京大学公共卫生学院,北京100191

出　　处：《中国卫生经济》2017年第1期5-9,共5页Chinese Health Economics

基　　金：国家自然科学基金青年科学基金项目(71403008)

摘　　要：目的:选取发展较为成熟的六所城市:深圳、北京、青岛、上海、武汉、重庆为例,描述和评价社区首诊制开展情况,为其他开展或准备开展首诊制的城市或地区提供借鉴。方法:通过搜索研究城市社区首诊制度的相关文献资料,对其内容进行提取、总结。结果:社区首诊制实施后可及性、满意度以及社区卫生服务的利用率得到提高,但存在一定问题。结论:建立和完善社区首诊制对于促进卫生资源在三级医疗卫生服务网络之间的合理流动起着重要的作用,在首诊制的实践和研究中都应加以重视。Objective： Taking Shenzhen, Beijing, Qingdao, Shanghai, Wuhan and Chongqing as examples, the implementation sta- tus of community gatekeeping system were described and analyzed to provide references for the implementation cities and regions com- pleted or ready for gatekeeping. Methods： It mainly focused on searching the literature data of gatekeeping. The content were selected and summarized. Results： It summarized that accessibility, satisfaction and utilization of gatekeeping were improved. However, there were still certain problems in practices. Conclusion： Establishing and implementing community gatekeeping system had important function on the rational flow of improving health resources in tertiary health service network, which should be be focused on in both implementation and research in the near future.

关 键 词：城市社区 首诊制度 综述 

分 类 号：R197.1[医药卫生—卫生事业管理]