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香港转诊制度对内地实施分级诊疗的启示

蔡利强 侯进 陆新建

中国全科医学2017,Vol.20Issue(15):1787-1792,1797,7.
中国全科医学2017,Vol.20Issue(15):1787-1792,1797,7.DOI:10.3969/j.issn.1007-9572.2017.15.001

香港转诊制度对内地实施分级诊疗的启示

Enlightenment of the Implementation of Patient Referral System in Hong Kong to the Carrying out of Hierarchical Medical System in the Mainland of China

蔡利强 1侯进 1陆新建1

作者信息

  • 1. 201311 上海市浦东新区大团社区卫生服务中心
  • 折叠

摘要

Abstract

The hierarchical medical system is one of the main necessary measures carried out to promote China′s medical reform.We studied the factors responsible for successful implementation of patient referral system in Hong Kong based on field training in the department of general practice of Hong Kong public hospitals and community medical centers,deeply interviewing the Hong Kong community healthcare managers and family doctors about this aspect,and analyzing the characteristics of healthcare system and general situation of primary healthcare services in Hong Kong on the grounds of reviewing the related literature.In view of the challenges existing in the hierarchical medical system carried out in the mainland of China,on the basis of Hong Kong′s nice experiences in implementing the patient referral system,we put forward eight suggestions for overcoming these challenges:formulating and enacting and perfecting the supporting policies related to hierarchical medical system;quickening the medical insurance system reform;promoting the cooperation between medical institutions at all levels;constructing a medical information system covering all the treatment data of patients that can be used in nationwide;enhancing the service capabilities of grassroots medical institutions;general practitioners(GPs) should deeply understand the essence of responsibility of family doctor services and fully perform the duty;improving the patient encounter skills in GPs;bettering the residents′ abilities of self-management of health.

关键词

病人转诊/患者分级医疗/香港/全科医生

Key words

Patient transfer/Progressive patient care/Hong Kong/General practitioners

分类

医药卫生

引用本文复制引用

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):1787-1792,1797,7.

中国全科医学

OA北大核心CSTPCD

1007-9572

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