“守门人”是一种制度。在西方国家如英国等,就医首诊先到社区全科医生那里,如果需要转诊治疗的,再由全科医生介绍。全科医生亦称为家庭医生。“守门人”制度是健康管理的需要。因为疾病的发生、诊断、治疗、康复是个性化、专业化、持续化的过程,预防和治疗都离不开医生的跟踪指导。从医疗保障角度看,“守门人”制度是确立分级诊疗的基本制度,是 Gatekeeper is a system. In western countries such as the United Kingdom, medical treatment first visit to the community general practitioners there, if the need for referral treatment, and then introduced by a general practitioner. General practitioners are also known as family doctors. The “gatekeeper” system is needed for health management. Because of the occurrence of disease, diagnosis, treatment, rehabilitation is a personalized, professional and continuous process, prevention and treatment are inseparable from the doctor’s follow-up guidance. From the perspective of medical insurance, “gatekeeper ” system is to establish the basic system of grading medical treatment is