史玲, 邝海东, 宋建玲, 刘瑶, 祝墡珠, 朱艳霞. 以家庭为单位的“1+1+1”家庭医生双签约服务探索[J]. 上海预防医学, 2018, 30(4): 286-289, 294. DOI: 10.19428/j.cnki.sjpm.2018.18550
引用本文: 史玲, 邝海东, 宋建玲, 刘瑶, 祝墡珠, 朱艳霞. 以家庭为单位的“1+1+1”家庭医生双签约服务探索[J]. 上海预防医学, 2018, 30(4): 286-289, 294. DOI: 10.19428/j.cnki.sjpm.2018.18550
Ling SHI, Hai-dong KUANG, Jian-ling SONG, Yao LIU, Shan-zhu ZHU, Yan-xia ZHU. Exploration on "1+1+1" family-doctor double contract service[J]. Shanghai Journal of Preventive Medicine, 2018, 30(4): 286-289, 294. DOI: 10.19428/j.cnki.sjpm.2018.18550
Citation: Ling SHI, Hai-dong KUANG, Jian-ling SONG, Yao LIU, Shan-zhu ZHU, Yan-xia ZHU. Exploration on "1+1+1" family-doctor double contract service[J]. Shanghai Journal of Preventive Medicine, 2018, 30(4): 286-289, 294. DOI: 10.19428/j.cnki.sjpm.2018.18550

以家庭为单位的“1+1+1”家庭医生双签约服务探索

Exploration on "1+1+1" family-doctor double contract service

  • 摘要:
    目的探索以家庭为单位的“1+1+1”家庭医生双签约服务,为社区居民提供全人群、全生命周期,从健康到康复的全科医疗服务。
    方法选择有代表性的居委会,确定试点家庭,选拔优秀的家庭医生,落实签约服务,细化工作流程,提供优质的签约服务,探索“1+1+1”家庭医生双签约服务工作。
    结果以家庭为单位的“1+1+1”家庭医生双签约服务,可提升家庭医生诊疗和健康管理水平,促进分级诊疗,方便病人就医。同时,也可提高居民健康知识知晓率、健康活动参与率、就医依从性及满意度。
    结论家庭医生双签约服务试点工作,规范了家庭医生团队的医疗服务工作,推进了分级诊疗,加强了健康管理,有利于提升全人群医疗服务水平。

     

    Abstract:
    ObjectiveTo explore "1+1+1" family-doctor double contract service, to let people get real benefits, and to provide the community residents with general medical service from health to health rehabilitation which cover the whole life circle.
    MethodsChangfeng Community Health Service Center actively explored the"1+1+1" family doctor double contract service, which was to further deepen the service in line with international standards on the basis of family doctor service mode.Through choosing the representative of the neighborhood committee, determining the pilot family, and selecting outstanding family doctor, the contracted services were implemented, the work processes detailed, and quality services provided.
    ResultsThrough carrying out the 1+1+1 family doctor double signing service work, we improved the level of family doctor diagnosis and health management, promoted degraded diagnosis and treatment, and made the awareness rate of residents′ health knowledge higher and meanwhile made it convenient for patients to seek medical treatment, but also improved the rate of health, participation rate of activities, medical compliance and satisfaction of health knowledge among residents.
    ConclusionThe family doctor double contract service pilot work has not only standardized the medical service work of the family doctor team, promoted the hierarchical diagnosis and treatment, strengthened health management, but also been beneficial to the improvement of the whole population medical service level.

     

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