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社区卫生服务是融预防、医疗、保健、康复、健康教育、计划生育技术服务功能等为一体的基层卫生服务。本文通过对北京市城区及农村山区就医模式的对比,提出门诊和巡诊相结合的多元化家庭医生式服务新模式,社区卫生服务关口前移全科医生定期入村巡诊。从而实现打造优质服务团队,引导居民有序就医,转变原来多数病人跨越社区机构直接到二级医院就诊的不合理的就医格局,逐步实现分级医疗,强化“就医预约、定向分诊、诊前服务和一对一诊疗”。切实解决边远地区就医难问题,“以巡诊促预约门诊”。充分利用有限的人力卫生资源,提高工作效率。促进区域基本医疗和公共卫生服务均等化。
Community health services are primary health care services integrating prevention, medical care, health care, rehabilitation, health education and family planning technical service functions. Based on the comparison of the medical treatment modes in Beijing urban area and rural areas, this paper proposes a new model of diversified family doctor service combining outpatient clinic and tour clinic. The community health service portal shifts the regular visits to the clinic for general practitioners. In order to create a quality service team, to guide residents to seek medical treatment, change the original majority of patients across community agencies directly to the two hospitals for treatment of unreasonable medical pattern, and gradually realize the classification of medical treatment, strengthen the “medical appointment, directional triage, pre-consultation Service and one to one treatment ”. Effectively solve the problem of medical treatment in remote areas, “to visit clinics to promote appointment ”. Make full use of limited human resources to improve work efficiency. Promote equalization of basic medical and public health services in the region.