社区卫生服务首诊制与医师多点执业

阐述了社区卫生服务首诊制的概念及其对规范医疗卫生次序的重要作用, 深入分析了限制社区卫生服务首诊制发展的主要因素。从正反两个方面分析了医师多点执业对首诊制的影响:医师多点执业能提高社区卫生人力资源的质量, 增强民众对社区卫生机构的信任度;但是医师多点执业也会造成医院和社区卫生机构管理上的问题, 医生自身也需要时间适应自身角色的转变。鼓励大医院办社区卫生服务机构, 增加社区医疗机构的政府补偿, 吸引医师到基层多点执业, 增强社区卫生服务首诊的能力。

First Consultation System in Community Health Service and Physicians' Multi-site Practice

The paper expounds the concept and importance of the first consultation system, and analyzes the major factors influencing the first consultation system.Besides, analyzes the positive and passive influences of physicians' multi-site practice on the first consultation system.Physicians' multi-site practice can improve the quality of human resources of community health institutions and enhance public trust in the community health institutions, but physicians' multi-site practice also causes some management problems in hospital and community health institutions, and physicians also need time to adapt to change their roles.Setting up community health institutions, increasing the government compensation, and setting up multi-site practice management committee are all help to improve service competency of community health institutions.