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上海市某农村地区社区卫生服务中心作为首批家庭医生责任制的试点单位,在工作模式、管理和考核机制中进行了有效探索,形成了一套具有农村特色的家庭医生责任制服务模式,并取得了良好效果。但在实施过程中存在传统医疗观念根深蒂固、相关配套制度不健全、家庭医生服务能力不足等问题,影响了家庭医生责任制的持续开展。加强宣传引导、完善配套制度、规范全科教育是保障家庭医生责任制服务深入开展的有效措施。
As a pilot unit of the first family doctor responsibility system, a community health service center in a rural area of Shanghai conducted an effective exploration in the work mode, management and assessment mechanism, and formed a set of responsibility system of family doctor service with rural characteristics. Achieved good results. However, problems such as deep-rooted traditional medical concepts, inadequate supporting systems and inadequate service capacity of family doctors have affected the continuous development of family doctor’s responsibility system. We must step up publicity and guidance, improve supporting systems, and standardize general education to be effective measures to ensure the in-depth implementation of family doctor’s responsibility system.