目的寻找合适的方法,让有限的资源在一、二级医院间共享,使社区居民得到更好、更便捷的医疗服务。为解决“看病贵、看病难”的问题探索出路。方法通过上海市奉贤区中心医院近年来向社区派驻首席医学专家,发挥他们的桥梁纽带作用,从传技术、帮管理、带培训等各方面提高基层医疗机构的服务水平,同时缓解二级医院的压力。结果调整社区医疗服务重点,找到一、二级医院的既合理分工又紧密合作的契合点,充分发挥各自作用。结论首席专家下社区活动充分体现医疗服务行业应该贴近社会,贴近患者的整体方针,也更好地为“看病难,看病贵”的社会问题提供了可行性的解决方案。对保证社区卫生服务事业健康有序的发展具有重要意义。 Objective To find a suitable method for sharing limited resources between primary and secondary hospitals so that community residents can get better and more convenient medical services. In order to solve the “expensive doctor, see a doctor difficult” to explore the way out. Methods Through Shanghai Fengxian District Central Hospital, chief medical experts were dispatched to the community in recent years, giving play to their role as bridges, improving the service level of grass-roots medical institutions in various aspects such as technology, management and training, pressure. Results The focus of community medical services was adjusted, and the first and second level hospitals were found to meet the needs of rational division of labor and close cooperation, giving full play to their respective roles. Conclusion The community leaders under the project fully reflect the medical service industry should be close to the community, close to the patient’s overall approach, but also better for the “difficult to see a doctor, expensive doctor,” the social problems provided a viable solution. To ensure the healthy and orderly development of community health services is of great significance.