Implementation Status of the "1+1+1" Type of Contracted Family Doctor Services in Shanghai:a Qualitative Study
1.Department of General Medicine,Xiamen Branch,Zhongshan Hospital,Fudan University,Xiamen 361015,China
2.Department of General Medicine,Zhongshan Hospital,Fudan University,Shang hai 200032,China
3.Weifang Community Health Center in Pudong New Area,Shanghai 200122,China
*Corresponding author:SHOU Juan,Chief physician,Master supervisor;E-mail:asyura55@126.com
HUANG Cuiling,SHOU Juan,LI Yaling, et al. Implementation Status of the "1+1+1" Type of Contracted Family Doctor Services in Shanghai:a Qualitative Study [J]. Chinese General Practice, 2019, 22(19): 2308-2313. DOI: 10.12114/j.issn.1007-9572.2019.00.074.
黄翠玲,寿涓,李娅玲等. 上海市“1+1+1”医疗机构组合签约策略实施现状的质性研究[J]. 中国全科医学, 2019, 22(19): 2308-2313. DOI: 10.12114/j.issn.1007-9572.2019.00.074.
[1]国务院办公厅.国务院办公厅关于推进分级诊疗制度建设的指导意见[EB/OL].(2015-09-11)[2018-05-02].http://www.gov.cn/zhengce/content/2015-09/11/content_10158.htm.
[2]市政府办公厅印发《关于进一步推进本市社区卫生服务综合改革与发展的指导意见》[EB/OL].(2015-03-03)[2018-05-02].http://www.shdrc.gov.cn/fzgggz/shfz/zcwj/18950.htm.
[3]关于印发《上海市2015年深化医药卫生体制改革工作要点》的通知[EB/OL].(2015-02-16)[2018-05-02]. http://www.shdrc.gov.cn/gk/xxgkml/zcwj/zgjjl/16830.htm.
[4]蔡利强,侯进.“1+1+1”组合签约对家庭医生服务效果的影响研究[J].中国全科医学,2018,21(31):3814-3817.DOI:10.12114/j.issn.1007-9572.2018.31.007.
CAI L Q,HOU J.Implementation effect of the"1+1+1" type of signing on the development of family doctor services[J].Chinese General Practice,2018,21(31):3814-3817.DOI:10.12114/j.issn.1007-9572.2018.31.007.
[5]张晓俊,鲍勇.上海市社区就诊人群“1+1+1”医疗机构组合签约现况及影响因素研究[J].中华全科医学,2018,16(8):1227-1230,1382.DOI:10.16766/j.cnki.issn.1674-4152.000337.
ZHANG X J,BAO Y.Current status of "1+1+1" medical institution combination signing project and its influencing factors among the outpatients of community health care center in Shanghai[J].Chinese Journal of General Practice,2018,16(8):1227-1230,1382.DOI:10.16766/j.cnki.issn.1674-4152.000337.
[6]叶红梅,温静,郑军华.基于上海市慢性病长处方的利益相关者理论分析[J].中国医院,2016,20(4):52-54.DOI:10.3969/j.issn.1671-0592.2016.04.019.
YE H M,WEN J,ZHENG J H.Analysis of chronic disease long prescription in Shanghai based on the stakeholders theory[J].Chinese Hospitals,2016,20(4):52-54.DOI:10.3969/j.issn.1671-0592.2016.04.019.
[7]王春辉,曹筱筱,孙颖祎.上海奉贤区某社区延伸处方用药情况分析[J].中国社区医师,2018,34(20):11,13.DOI:10.3969/j.issn.1007-614x.2018.20.005.
WANG C H,CAO X X,SUN Y Y.Analysis of extended prescriptions in a community in Fengxian District,Shanghai[J].Chinese Community Doctors,2018,34(20):11,13.DOI:10.3969/j.issn.1007-614x.2018.20.005.
[8]国务院医改办.关于印发推进家庭医生签约服务指导意见的通知[EB/OL].(2016-05-25)[2018-06-06].http://www.nhfpc.gov.cn/tigs/s3577/201606/e3e7d2670a8b4163b1fe8e409c7887af.shtml.
[9]崔华欠,方国瑜,杨阳,等.广州市社区居民对分级诊疗模式的知晓和认知情况调查[J].中国全科医学,2014,17(34):4123-4126.DOI:10.3969/j.issn.1007-9572.2014.34.027.
CUI H Q,FANG G Y,YANG Y,et al.Investigation on community residents' awareness and cognition of hierarchical diagnosis system in Guangzhou City[J].Chinese General Practice,2014,17(34):4123-4126.DOI:10.3969/j.issn.1007-9572.2014.34.027.
[10]赵建功,张向东,王敏,等.北京市西城区家庭医生式服务签约居民续约意愿及影响因素研究[J].中国全科医学,2015,18(28):3417-3422.DOI:10.3969/j.issn.1007-9572.2015.28.009.
ZHAO J G,ZHANG X D,WANG M,et al.Residents' willingness for renewing the signing of family doctor service in Xicheng District of Beijing and its influencing factors[J].Chinese General Practice,2015,18(28):3417-3422.DOI:10.3969/j.issn.1007-9572.2015.28.009.
[11]赵影,祝友元,潘毅慧,等.社区门诊患者签约家庭医生的意愿及其影响因素研究[J].中国全科医学,2012,15(10):1151-1153.DOI:10.3969/j.issn.1007-9572.2012.10.027.
ZHAO Y,ZHU Y Y,PAN Y H,et al.Factors influencing signinging percentage of family physicians among community outpatients[J].Chinese General Practice,2012,15(10):1151-1153.DOI:10.3969/j.issn.1007-9572.2012.10.027.
[12]李婷,林其意,黄涛,等.慢性病长处方政策对签约患者医疗质量的短期影响及政策建议[J].中国全科医学,2017,20(25):3084-3087.DOI:10.3969/j.issn.1007-9572.2017.25.005.
LI T,LIN Q Y,HUANG T,et al.Short-term effect of chronic disease patients with long-term prescription policy oil the healthcare quality of contracted patients and policy recommendations[J].Chinese General Practice,2017,20(25):3084-3087.DOI:10.3969/j.issn.1007-9572.2017.25.005.
[13]毕芳,孙向军,任苒.双向转诊制度实施中的问题与对策[J].中国初级卫生保健,2011,25(4):9-12.DOI:10.3969/j.issn.1001-568X.2011.04.004.
BI F,SUN X J,REN R.Problems and counter measures in the implementation of two-way referral system[J].Chinese Primary Health Care,2011,25(4):9-12.DOI:10.3969/j.issn.1001-568X.2011.04.004.
[14]蔡利强,侯进,陆新建.香港转诊制度对内地实施分级诊疗的启示[J].中国全科医学,2017,20(15):1787-1792,1797.DOI:10.3969/j.issn.1007-9572.2017.15.001.
CAI L Q,HOU J,LU X J.Enlightenment of the implementation of patient referral system in Hong Kong to the carrying out of hierarchical medical system in the mainland of China[J].Chinese General Practice,2017,20(15):1787-1792,1797.DOI:10.3969/j.issn.1007-9572.2017.15.001.
[15]刘晓溪,陈玉文,毕开顺.借鉴英国医疗服务体系破解我国实施双向转诊制度难题[J].中国全科医学,2013,16(25):2926-2929.DOI:10.3969/j.issn.1007-9572.2013.25.005.
LIU X X,CHEN Y W,BI K S.Resolution of two-way referral problem in China by studying British National Health Service System[J].Chinese General Practice,2013,16(25):2926-2929.DOI:10.3969/j.issn.1007-9572.2013.25.005.
[16]高凤娟,王培玉,史宇晖,等.德胜社区家庭医生式服务新模式的效果研究[J].中国全科医学,2017,20(13):1563-1567.DOI:10.3969/j.issn.1007-9572.2017.13.008.
GAO F J,WANG P Y,SHI Y H,et al.Effect of the new mode of family doctor service in Desheng Community[J].Chinese General Practice,2017,20(13):1563-1567.DOI:10.3969/j.issn.1007-9572.2017.13.008.
[17]袁莎莎,王芳,李陈晨,等.社区卫生服务机构签约服务模式分析[J].中国卫生政策研究,2015,8(8):56-62.DOI:10.3969/j.issn.1674-2982.2015.08.011.
YUAN S S,WANG F,LI C C,et al.Analysis on the signinging service model in community health centers[J].Chinese Journal of Health Policy,2015,8(8):56-62.DOI:10.3969/j.issn.1674-2982.2015.08.011.
[18]ZHOU H,ZHANG W,ZHANG S,et al.Health providers' perspectives on delivering public health services under the signing service policy in rural China:evidence from Xinjian County[J].BMC Health Services Research,2015,15:75.DOI:10.1186/s12913-015-0739-x.
[19]徐霞凤,杜兆辉.全科医生助理员参与家庭医生签约制服务的效果评价[J].中国全科医学,2015,18(28):3410-3412.DOI:10.3969/j.issn.1007-9572.2015.28.007.
XU X F,DU Z H.Effect evaluation of assistants for general practitioners in family doctor service system[J].Chinese General Practice,2015,18(28):3410-3412.DOI:10.3969/j.issn.1007-9572.2015.28.007.