社区全专结合门诊建设模式及优化策略
Construction Model and Optimization Strategy of Outpatient Clinics of Combination of General Practice and Specialty in The Community
摘要
我国基层医疗卫生机构全科医生专业能力、基础设施相对薄弱，综合性医院专科医生时间精力有限、资源丰富，进一步统合社区卫生机构及综合性医院医疗资源、加强全科 - 专科医生合作，才能更好的保障医疗质量、促进患者健康。本文系统梳理了国内外全专结合门诊建设的典型案例，从全专结合门诊概念的来源、内涵、建设模式、存在问题及优化策略等方面进行了阐述。指出全专结合门诊管理模式建设可能面临的挑战，并且针对各地区的创新做法，结合存在问题提出了完善全专结合门诊建设规章制度、协调统一全专结合门诊路径、注重全专结合门诊团队绩效激励、提升居民认可度、完善全专结合门诊诊疗评价标准 5 个方面的建议，以期为国家深入开展社区全专结合门诊建设提供借鉴。
Abstract
The professional capacity and infrastructure of general practitioners in grass-roots medical and health institutions in China are relatively weakand the energy of specialists in general hospitals is limited and resources are abundant so we will further integrate the medical resources of community health institutions and general hospitals and strengthen the cooperation between general practitioners and specialists. In order to better protect the quality of medical care and promote the health of patients. This paper systematically sorts out the typical practices and experiences of the construction of outpatient clinics of combination of general practice and specialtyand takes the sourceconnotationconstruction path and construction path of the concept of full-specialty combination of outpatient clinics Development effectivenessexisting problems and strategic recommendations are elaborated. Point out the challenges that may be faced in the construction of outpatient clinics of combination of general practice and specialty management model. In additionin view of the innovative practices of each regionfive aspects of suggestions are put forward in combination with existing problems: Improve the rules and regulations for the construction of outpatient clinics of combination of general practice and specialtycoordinate and unify the outpatient path of outpatient clinics of combination of general practice and specialtypay attention to the protection of outpatient clinics of combination of general practice and specialty teamsclarify the population of outpatient clinics of combination of general practice and specialtyservicesand improve the health evaluation system for the outcomes of outpatient clinics of combination of general practice and specialty.In order to provide reference for the country to carry out the construction of outpatient clinics of combination of general practice and specialty in depth.关键词
全科医学/医院，专科/全专协作/诊疗模式，医师/社区卫生服务/建设模式/优化策略引用本文复制引用
于德华,陆媛,金花,石建军.社区全专结合门诊建设模式及优化策略[EB/OL].(2024-01-31)[2026-04-03].https://chinaxiv.org/abs/202402.00008.学科分类
医药卫生理论
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