上海市构建分级诊疗制度的改革与探索

摘要

Based on the main arrangement and work requirement of the classified diagnosis and treatment system, this article elaborated the overall consideration and practice in building the classified diagnosis and treatment system of Shanghai that took both Shanghai health service delivery system and residents’ medical service utilization practice into account:regarding family doctor system as the basic route in the establishment of Shanghai classified diagnosis and treatment system,setting up the resource synergy mechanism and dual referral mechanism between community health service centers and the high-level hospitals,perfecting the supporting and incentive measures on resources,policy and information,gradually setting up the classified diagnosis and treatment system in line with conditions of the nation and the city,and providing Shanghai residents with comprehensive,continuous,and whole course health management services.%围绕国家关于推进分级诊疗制度建设的基本部署和工作要求，结合本市医疗服务体系和居民就医实际，阐述了上海市构建分级诊疗制度的总体考虑和工作进展：即以做实家庭医生制度作为本市构建分级诊疗制度的基本路径，建立社区卫生服务中心与二、三级医院的资源协同机制和双向转诊机制，完善资源支撑、政策支撑和信息支撑等方面的保障和激励措施，逐步建立起符合国情、市情的分级诊疗制度，为本市市民提供综合、连续、全程的健康管理服务。