中国全科医学2025，Vol.28Issue(19)：2390-2397,8.DOI:10.12114/j.issn.1007-9572.2023.0568
上海市社区全专结合临床诊疗技术建设实践
Construction and Practice of Clinical Diagnosis and Treatment Technology Combining General Practice and Specialist in Shanghai Community
摘要
Abstract
The development of the clinical diagnosis and treatment technology combined with general practice and specialist in the community is an important measure to improve the comprehensive service level of community health centers(CHCs),promote the more reasonable medical order,and implement hierarchical medical system.In this article,we find that most of CHCs in the city have carried out the clinical diagnosis and treatment technology combined with general practice and specialty,by analyze the documents related to the development of community health in Shanghai and published literature,and combine the survey results of these technologies carried out by Shanghai community health centers.It has become an important strategy for CHCs to improve their clinical capacity,the development of these technologies,by focusing on common and frequently-occurring diseases in the community,and combining its own medical advantages,to select appropriate disease types.However,during the development of the clinical diagnosis and treatment technology combined with general practice and specialist,there are some difficulties,such as the lack of relevant talents in the community and awareness of some experts on community specialized services,the difficulty of in-service education of general practitioners,besides,specialized drugs in the community and brand publicity on community characteristic technologies are also indispensible.The development of the clinical diagnosis and treatment technology combined with general practice and specialist in the community needs the policy support of the health administrative department.We suggest that CHCs should carry out the training of the combination of general practice and specialist in combination with the professional development of general practitioners,increase the drugs for specialty and special disease diagnosis and treatment,propagate the community characteristic technology in multiple ways,and explore the general practice and specialist combined diagnosis and treatment mode innovatively.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/分级诊疗/服务能力Key words
General practice/Hospitals,special/Collaboration of general practice and speciality/Practice patterns,physicians'/Community health services/Hierarchical diagnosis treatment/Service ability分类
医药卫生引用本文复制引用
刘洪亚,于德华..上海市社区全专结合临床诊疗技术建设实践[J].中国全科医学,2025,28(19):2390-2397,8.基金项目
2023年上海市卫健委卫生健康政策研究课题项目(2023HP28) （2023HP28）
