健康研究2026，Vol.46Issue(2)：142-146,5.DOI:10.19890/j.cnki.issn1674-6449.2026.02.004
分级诊疗背景下三级医院专科团队与社区家庭医生联动的全程健康管理模式探索
Exploration of a full-process health management model integrating tertiary hospital specialist teams with community family physicians under the hierarchical medical system
龚大峁 1黄涛 1唐兢 1金辉华 2郑东鹏 3房良 4狄建忠5
作者信息
- 1. 上海市徐汇区长桥街道社区卫生服务中心,上海 200231
- 2. 上海市徐汇区虹梅街道社区卫生服务中心,上海 200233
- 3. 上海市徐汇区华泾镇社区卫生服务中心,上海 200231
- 4. 上海市卫生和健康发展研究中心,上海 200031
- 5. 上海市第六人民医院办公室,上海 200233
- 折叠
摘要
Abstract
Hierarchical diagnosis and treatment is a significant measure in deepening China's healthcare system reform.During the 13th Five-Year Plan period,China achieved phased successes in this area,which is of great importance for promoting the equalization of basic medical and health services.In response to the collaboration characteristics and existing issues between tertiary hospitals and community health services under the hierarchical medical system,this article proposes recommendations such as exploring the construction of a linkage mechanism between tertiary hospital specialist teams and community family physicians within a full-process health management model,exploring effective incentive mechanisms for such collaboration,establishing a full-process health management platform for contracted family physician services involving tertiary hospital specialist targeting key populations and specific diseases,and promoting the construction of family doctor teams based on a"specialist-general practice"model,so as to further promote the decentralization of high-quality medical resources and enhance residents'perception of contracted family physician services.关键词
全程健康管理/专科团队/家庭医生/分级诊疗Key words
full-process health management/specialist team/family physician/hierarchical diagnosis and treatment分类
医药卫生引用本文复制引用
龚大峁,黄涛,唐兢,金辉华,郑东鹏,房良,狄建忠..分级诊疗背景下三级医院专科团队与社区家庭医生联动的全程健康管理模式探索[J].健康研究,2026,46(2):142-146,5.
