(接2012年第10卷第3期)社区健康守门人的关键是社区居民对在社区医院首诊的认识。2005年的我们一项研究显示首选社区医院只有16%,表明上海市在居民就诊分流方面虽然做了工作,但是距离首诊有相当差距,当时,首诊到社区的原因主要是:门诊患者中,44.8%选择就近方便,31.2%选择是医疗水平高,10.3%选择服 (Continued 2012 Vol. 10, No. 3) The key to community health gatekeepers is community residents’ understanding of the first visit to a community hospital. In 2005, one of our studies showed that only 16% of the preferred community hospitals showed that although Shanghai did work on residents’ diversion, there was a considerable gap from the first visit. The reasons for the first visit to the community were as follows: Outpatients , 44.8% choose the nearest convenient, 31.2% choice is the medical level is high, 10.3% choose service