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[1]焦岳龙王娟娟马鸣骁金逸耿益民王瑱张煜婷余飞.分级诊疗背景下上海市三级医院家庭医生签约居民预约转诊服务模式实践[J].中国卫生质量管理,2025,32(11):80-83.[doi:10.13912/j.cnki.chqm.2025.32.11.16]
　JIAO Yuelong,WANG Juanjuan,MA Mingxiao.Practice of Referral Service Models for Family Doctor-Contracted Residents in Tertiary Hospitals of Shanghai under the Background of Hierarchical Medical System[J].Chinese Health Quality Management,2025,32(11):80-83.[doi:10.13912/j.cnki.chqm.2025.32.11.16]

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分级诊疗背景下上海市三级医院家庭医生签约居民预约转诊服务模式实践

《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: 80-83 栏目: 基层卫生质量出版日期: 2025-11-15

Title:: Practice of Referral Service Models for Family Doctor-Contracted Residents in Tertiary Hospitals of Shanghai under the Background of Hierarchical Medical System

作者:: 焦岳龙王娟娟马鸣骁金逸耿益民王瑱张煜婷余飞; 同济大学附属第十人民医院

Author(s):: JIAO Yuelong; WANG Juanjuan; MA Mingxiao; Tenth People’s Hospital of Tongji University

关键词:: 分级诊疗; 家庭医生; 签约居民; 预约转诊; 社区卫生服务中心

Keywords:: Hierarchical Medical System; Family Doctor; Signed Residents; Appointment-Based Referral; Community Health Service Center

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2025.32.11.16

文献标志码:: B

摘要:: 在落实家庭医生签约居民预约转诊服务政策过程中，上海市级医院面临居民政策知晓度低、与社区联动机制不健全、部门间协同不足、信息系统互联互通机制不健全等挑战。在此背景下，医院通过开展多渠道宣传、强化与社区联动机制、明确预约转诊服务流程、加强信息化建设、建立多维度保障机制、推行“直通卡”服务模式等举措，切实落实签约居民预约转诊服务，提升了服务效率。

Abstract:: During the implementation of the family doctor contracted referral service policy, municipal-level hospitals in Shanghai have encountered challenges such as low public awareness of the policy, inadequate linkage mechanisms with community health service centers, insufficient inter-departmental collaboration, and underdeveloped interoperability of information systems.Against this backdrop, hospitals have taken measures such as conducting multi-channel publicity campaigns, strengthening linkage mechanisms with community health service centers, clarifying referral service procedures, enhancing information technology infrastructure, establishing multi-dimensional safeguard mechanisms, and introducing "direct access card" service model. These initiatives have effectively facilitated the implementation of referral services for contracted residents and improved the efficiency of referral services.

参考文献/References:

［1］许辉,张志霞,方鹏骞.智慧化医院视角下公立医院门诊服务流程管理及其优化策略［J］.中国医院,2024,28(11):85-89.［2］姚华彦,何萍,崔斌,等.互联网医院赋能慢病管理的应用实践［J］.中国数字医学,2023,18(3):15-19.［3］陶丽丽,于琳娜,周萍,等.医联体医疗服务连续性现状与影响因素分析［J］.中国卫生质量管理,2024,31(11):84-88.［4］柏鸿凌,胡佳迎,张晓兰,等.分级诊疗背景下“互联网+”胃肠镜预约模式探索［J］.中国卫生质量管理,2025,32(5):26-28,33.

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更新日期/Last Update: 2025-11-15