Analysis of the design ideas for "One community health center, One district hospital and One municipal hospital" contract service mechanism of family doctor in Shanghai and its barrier a-nalysis during implementation
10.3969/j.issn.1674-2982.2018.12.005
- VernacularTitle:上海市家庭医生"1+1+1"医疗机构组合签约机制的设计思路与实施障碍因素分析
- Author:
Jiang-Jiang HE
1
,
2
;
Tian-Ye ZHANG
;
Dong WANG
;
Su XU
;
Ling WANG
;
Jian-Feng CAO
;
Chao YANG
;
Chun-Yan XIE
;
Shan-Lian HU
Author Information
1. 上海巿卫生和健康发展研究中心(上海市医学科学技术情报研究所)上海 200040
2. 复旦大学公共卫生学院 上海 200032
- Keywords:
Family doctor;
Medical institutions;
Contract service;
Mechanism;
Shanghai
- From:
Chinese Journal of Health Policy
2018;11(12):24-28
- CountryChina
- Language:Chinese
-
Abstract:
Shanghai is the earliest city in China for starting family doctor system at national level. It has actively explored the contract service mechanism between residents and family doctors. It has developed from "soft contract signing of guiding residents to understand, contact and gradually accept family doctor services" to the " main and close contracting using the comprehensive service from medical institutions". This paper systematically analyzed the implementation status in " one community health center, one district hospital and one municipal hospital (1 + 1 + 1)" contractservice system of family doctor in Shanghai from the aspects of adjustment background, design ideas, progress and obstacles of the policy. Based on the analysis of barriers to the policyimplementation, some suggestions were put forward including the improvement of the contract service system in order to increase the number and build the capacity of general practitioners, and the optimization of the existing payment distribution systems.
