Core attributes, high-performance functional mechanism and policy implications of general practice
10.3969/j.issn.1674-2982.2016.01.001
- VernacularTitle:全科医疗核心特征功能、高绩效作用机制及其政策涵义
- Author:
Li KUANG
;
Jie MEI
- Publication Type:Journal Article
- Keywords:
General practice;
First-contact;
Continuity of service;
Accessibility of service;
Coordination of service;
Comprehensiveness of service
- From:
Chinese Journal of Health Policy
2016;9(1):2-10
- CountryChina
- Language:Chinese
-
Abstract:
General practice is the core of primary care, and it has become the fundamental part of some high-valued health care system. The function-orientated definition of primary care comprise of five core attributes, which are first-contact, accessibility, continuity, coordination and comprehensiveness of service. This paper started from the definition of general practice and sought to clarify and summarize the definitions, contents and functions of its five core attributes;meanwhile, the high-performance functional mechanism of health care system was also explored. On this basis, four suggestions are put forward: The basic medical health care system should be renamed primary care system;Five core attributes of primary care should be emphasized when strengthening the primary care system; the primary care system should be improved, and the key points are the number of general practitioners (GPs), payment system, primary care purchasing, educational system of GPs and etc.;The management system and service process should be developed which would benefit the implementation of the core attributes of primary care at an organizational level.