重大突发公共卫生事件下家庭医生服务供给路径研究  

Research on the pathway of supplying family doctor services in the context of major public health emergencies

作　　者：王干[1,2] 王海琴 张天天[2] 罗力 WANG Gan;WANG Haiqin;ZHANG Tiantian;LUO Li(Shanghai Institute of Infectious Disease and Biosecurity,Fudan University,Shanghai 200032,China;不详)

机构地区：[1]复旦大学上海市重大传染病和生物安全研究院,上海200032 [2]复旦大学公共卫生学院 [3]上海市徐汇区斜土街道社区卫生服务中心

出　　处：《中国公共卫生管理》2024年第1期5-10,共6页Chinese Journal of Public Health Management

基　　金：教育部哲学社会科学重大攻关项目(20JZD027)。

摘　　要：探究家庭医生在突发公共卫生事件下的服务供给路径,总结其防控经验,为更好地应对新发、突发传染病疫情提供支持。通过检索国内外文献数据库、采用文献内容分析法进行服务供给路径梳理,发现在疫情的预警、发生、缓解和善后阶段,家庭医生服务供给路径发生了适应性调整,重点体现在服务范围和内容上。虽然,不同国家的家庭医生在区域疫情应急处置架构中灵活性、敏感性高,但仍面临人力资源不足、资源分配失衡、工作压力加大、服务需求满足时效低等挑战,医疗服务可持续性受到严峻威胁。因此,未来应注意加强家庭医生人才队伍建设和路径优化,提高应急医疗服务处置能力和质量,以发挥家庭医生的重要兜底作用。To explore the service supply path of family doctors during public health emergencies,summarize their prevention and control experience,and provide support for better response to new and emergent infectious disease outbreaks.By searching both domestic and international literature databases and applying literature content analysis,it was found that in the stages of epidemic warning,outbreak,relief and aftermath,family doctors adapted their service supply paths,with a focus on service scope and content.While family doctors in different countries were more flexible and sensitive in responding to regional emergency response frameworks,they still faced challenges such as insufficient human resources,imbalanced resource allocation,increased work pressure,and low service delivery efficiency,posing a severe threat to the sustainability of medical services.Therefore,it is necessary to strengthen the construction of the family doctor talent pool and optimize the service supply path in the future,improve emergency medical service capability and quality,and fully unleash the important role of family doctors as a safety net.

关 键 词：突发公共卫生事件 家庭医生 服务供给路径 

分 类 号：R197.1[医药卫生—卫生事业管理]