Predicament analysis and path construction of the effective contract fulfillment of family doctors in Shanghai from the perspective of informatization
10.19428/j.cnki.sjpm.2026.260002
- VernacularTitle:信息化视角下上海市家庭医生有效履约困境分析及路径构建
- Author:
Yule HAN
1
;
Heping WAN
1
;
Jingya ZHANG
2
;
Xueyan ZHANG
1
;
Yuan DING
1
Author Information
1. Shanghai Municipal Center for Health Promotion, Shanghai 200040, China
2. Shanghai Municipal Health Commission, Shanghai 200125, China
- Publication Type:Journal Article
- Keywords:
family doctor;
contracted service;
informatization;
effective contract fulfillment;
integration of medical care and disease prevention;
data integration;
holistic perspective
- From:
Shanghai Journal of Preventive Medicine
2026;38(5):367-371
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo systematically explore the current practical status, core predicaments, and optimization paths of effective contract fulfillment by family doctors in Shanghai from the perspective of informatization, and to provide empirical support and policy references for the high-quality development of contracted services. MethodsA mixed research approach was adopted. The connotation of effective contract fulfillment, the current status of informatization support, and the priority of demand were comprehensively analyzed through policy document review, in-depth interviews with key informants, and a questionnaire survey covering 45 community health service centers across all 16 districts of Shanghai. ResultsThe family doctor contract service in Shanghai has formed a dual-core framework of “accurate contracting” and “substantive service delivery”, yet challenges persist in system interoperability, health data integration, and the limited diversity of service outreach tools. The comprehensive utilization rate of the information integration terminal in the 45 surveyed community health service centers was merely 50.74%. Three prioritized demands were identified: horizontal connectivity between the Hospital Information System (HIS) and the public health system for contract status updates, integration of “medical-prevention-management” information, and automated generation of health assessments. Based on these findings, this study proposed a closed-loop fulfillment pathway of “tag generation-task management-service delivery-data return”. ConclusionTo facilitate the high-quality development of contracted services, it is recommended to transform the concept of contracted services and promote the integration of medical care and disease prevention through information system construction from a holistic perspective. Concurrently, municipal top-level design and district-level platform development should be reinforced to refine data governance and application. Furthermore, substantial efforts should be devoted to cultivating interdisciplinary talents bridging clinical practice and information technology, thus strengthening the convergence of clinical and information operations.
