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新乡市社区首诊制试行中存在着居民就医首诊不“首”、社区卫生资源利用率低以及各级医疗机构之间双向转诊实施难等问题。制约社区首诊制有效运行的主要因素一是市场经济背景下医疗资源配置的不均衡,导致基层医疗服务水平尚不能满足居民需求;二是上下级医院之间的协调不到位,彼此间存在利益冲突;三是社区卫生服务机构全科医生配备不足以及居民对社区卫生服务的认知度不够。
In the first pilot trial of community in Xinxiang City, residents did not have the first diagnosis, the utilization rate of community health resources was low, and the implementation of two-way referral between medical institutions at all levels was difficult. The main factors that restrict the effective operation of community first consultation system are: First, the unbalanced allocation of medical resources under the background of market economy can not meet the needs of residents; secondly, the coordination between higher and lower-level hospitals is not in place and benefits exist among themselves Conflict; thirdly, inadequate provision of general practitioners in community health service institutions and residents’ lack of awareness of community health services.