摘要
建立全科医生“守门人”制度 ,开展社区卫生服务 ,可以引导卫生资源从上层向基层的流动 ,使卫生资源的配置与需求相对应 ,改善卫生资源配置效益 ,加强预防战略 ,构建高效、经济的卫生服务体系。通过介绍英国、澳大利亚、美国全科医生的工作、任务 ,启示我国可从以下几方面促进全科医生“守门人”制度的建立 :①健全国家配套政策体制 ;②做好利益相关者分析 ;③改善医疗保险体系构成 ;④吸纳相关专业学术团体的有益建议 ;⑤培养全科医生 ;⑥建立全科医生与专科医生的规范合作。
Setting up a system wherein general practitioners play the role of the “goalkeeper” in the delivery of community health services may guide the rational flow of health resources from the upper to the basic levels, match the allocation of health resources to the demands, improve the effectiveness of health resources allocation, reinforce preventive strategies, and construct a highly efficient and economic health services system. By introducing the role of general practitioners in Britain, Australia and the United States, the paper aims to draw some enlightenment which will contribute to the establishment of such a system in China in the following aspects: ①perfecting the system of national supporting policies; ② making a good analysis of the parties interested; ③improving the makeup of the medical insurance system; ④accepting useful suggestions from relevant learned societies; ⑤ training general practitioners;⑥ establishing standards for the cooperation between general practitioners and specialists.
出处
《中华医院管理杂志》
北大核心
2005年第3期213-215,共3页
Chinese Journal of Hospital Administration
