| 引用本文: |
宋宿杭,何莉,梁思园,等.我国城市社区首诊制度研究综述[J].中国卫生经济,2017,(1):5-9.[点击复制] |
.Review on the Implementation of Community Gatekeeping in China[J].CHINESE HEALTH ECONOMICS,2017,(1):5-9.[点击复制] |
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| 摘要: |
| 目的：选取发展较为成熟的六所城市—深圳、北京、青岛、上海、武汉、重庆为例，描述和评价社区首诊制开展情况,为其它开展或准备开展首诊制的城市或地区提供借鉴。方法：通过搜索研究城市社区首诊制度的相关文献资料，对其内容进行提取、总结。结果：社区首诊制实施后可及性、满意度以及社区卫生服务的利用率得到提高，但存在一定问题。结论：建立和完善社区首诊制对于促进卫生资源在三级医疗卫生服务网络之间的合理流动起着重要的作用,在首诊制的实践和研究中都应加以重视。 |
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| Review on the Implementation of Community Gatekeeping in China |
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| Abstract: |
| Objective: It takes Shenzhen, Beijing, Qingdao, Shanghai, Wuhan and Chongqing as examples, which are well developed, to introduce the practices of gatekeeping system, and to provide more quantitative evidence-based policy suggestions for the cities who will implement gatekeeping. Methods: It mainly focused on searching the literature data of gatekeeping．The content were selected and summarized．Results: It summarized that accessibility, satisfaction and utilization of gatekeeping have improved. However, there are still some difficulties in practices this system. Conclusion: Well functioning gate-keeping system are of critical importance to the achievement of the rational flow of health resources among the three-tier health care delivery system in China. Gatekeeping should be focused on in both implementation and research in the near future. |
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