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[1]马鸣骁侯冷晨苗润阳徐巨梁.上海市家庭医生签约居民优先预约市级医院门诊号源实践[J].中国卫生质量管理,2025,32(11):77-79.[doi:10.13912/j.cnki.chqm.2025.32.11.15]
　MA Mingxiao,HOU Lengchen,MIAO Runyang.Practice of Giving Priority to Contracted Residents of Shanghai’s Family Doctors in Booking Outpatient Appointments at Municipal Hospitals[J].Chinese Health Quality Management,2025,32(11):77-79.[doi:10.13912/j.cnki.chqm.2025.32.11.15]

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上海市家庭医生签约居民优先预约市级医院门诊号源实践

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年11期页码: 77-79 栏目: 基层卫生质量出版日期: 2025-11-15

Title:: Practice of Giving Priority to Contracted Residents of Shanghai’s Family Doctors in Booking Outpatient Appointments at Municipal Hospitals

作者:: 马鸣骁侯冷晨苗润阳徐巨梁; 上海申康医院发展中心

Author(s):: MA Mingxiao; HOU Lengchen; MIAO Runyang; Shanghai Hospital Development Center

关键词:: 家庭医生; 签约居民; 号源优先; 预约转诊; 分级诊疗

Keywords:: Family Doctor; Contracted Residents; Priority Appointment Slots; Referral Appointment; Hierarchical Medical System

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2025.32.11.15

文献标志码:: B

摘要:: 社区卫生服务中心在分级诊疗体系中居于核心地位。在分级诊疗背景下，上海申康医院发展中心从保障号源供给、搭建统一转诊平台、提升家庭医生精准转诊能力、设置签约居民服务中心、提供“优先就诊、优先检查、优先住院”服务、制订监督考核指标等方面着手，启动家庭医生签约居民优先预约市级医院门诊号源工作，并提出通过落实向下转诊、加强检查检验结果互认、优化考核评价机制等举措，持续优化号源优先预约工作。

Abstract:: Community health service centers play a pivotal role in the hierarchical medical system. Under the background of this system, Shanghai Hospital Development Center has initiated efforts to prioritize outpatient appointment reservations for contracted residents with family doctors in municipal-level hospitals. This initiative encompasses measures such as ensuring the supply of appointment slots, establishing a unified referral platform, enhancing the precise referral capabilities of family doctors, setting up contracted resident service centers, providing services for "priority in medical consultation, priority in examination, and priority in hospitalization", and formulating supervision and assessment indicators. Furthermore, the center proposes continuous optimization of the priority appointment reservation system through measures including implementing downward referrals, strengthening mutual recognition of laboratory and imaging test results, and optimizing the assessment and evaluation mechanisms.

参考文献/References:

［1］朱思宇,白雪,蔡正坤,等.基于SERVQUAL模型与IPA分析的武汉市社区卫生服务中心服务质量评价［J］.中国卫生质量管理,2023,30(10):62-66.［2］付晨.上海市社区卫生服务能力提升的路径探索［J］.健康发展与政策研究,2024,27(3):201-205.［3］胡敏,杨超,吕芊芊,等.政策干预对上海市家庭医生签约服务的影响：基于间断时间序列模型［J］.健康发展与政策研究,2024,27(3):218-223.［4］高扬,谷佳伟,黄海军,等.公立医院检查检验结果互认的浙江实践［J］.卫生经济研究,2024,41(8):23-26.［5］钮登,魏靖,高晶.上海市家庭医生签约服务绩效考核指标体系的合理性评价［J］.中国卫生质量管理,2023,30(3):87-92,98.

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更新日期/Last Update: 2025-11-15