中国全科医学2026，Vol.29Issue(19)：2608-2613,2620,7.DOI:10.12114/j.issn.1007-9572.2025.0520
以患者为中心的医疗之家模式中国本土化研究:适配度、挑战与路径分析
Research on the Localization of the Patient-centered Medical Home Model in China:Adaptation Mechanisms,Challenges,and Pathway Analysis
摘要
Abstract
Under the background of the global transformation of primary health care(PHC)systems,the patient-centered medical home(PCMH)model,with its core philosophy of"people-centered,integrated,continuous,and team-based care",has emerged as a significant paradigm for enhancing PHC service quality.In China,community health services are undergoing a critical transition from a disease-treatment focus towards health management.The deepening implementation of systems such as contracted family doctor services and hierarchical diagnosis and treatment provides fertile ground for adopting and integrating PCMH concepts.This paper systematically reviews the core elements of PCMH and international practical experiences.By comparing these with the current state of China's community health service system,it identifies structural discrepancies and transformational challenges across six key dimensions:payment incentives,information technology,human resources,service culture,organizational management,and systemic collaboration.Corresponding synergistic reform strategies are proposed.Building on this analysis,the study constructs a progressive,four-stage implementation pathway comprising"organizational preparation,process re-engineering,comprehensive scaling,and continuous improvement".The aim is to provide a reference that combines theoretical systematicity and practical operability,thereby to promote the high-quality development of China's contracted family doctor services with the emphasis shifting from"quantity of contracts"to"quality of service",and from"fragmented"to"integrated"care.关键词
社区卫生服务/以病人为中心/全科医生/联合卫生保健系统/初级卫生保健Key words
Community health services/Patient-centered care/General practitioners/Delivery of health care,integrated/Primary health care分类
医药卫生引用本文复制引用
赵欣欣,孙小婷,罗欣昊,孙金,彭德荣,郑加麟..以患者为中心的医疗之家模式中国本土化研究:适配度、挑战与路径分析[J].中国全科医学,2026,29(19):2608-2613,2620,7.基金项目
国家自然科学基金青年项目(72104182) （72104182）
2024年全国医药学研究生在线课程建设与教学研究课题(B_YXC2024-02-04_09) （B_YXC2024-02-04_09）
