上海市社區(qū)全專結(jié)合臨床診療技術(shù)建設(shè)實踐

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【關(guān)鍵詞】全科醫(yī)學；醫(yī)院，?？疲蝗珜f(xié)作；診療模式，醫(yī)師；社區(qū)衛(wèi)生服務；分級診療；服務能力【中圖分類號】R-05【文獻標識碼】A DOI：10.12114/j.issn.1007-9572.2023.0568

【Abstract】The developmentof the clinical diagnosis and treatmenttechnologycombined with general practice and specialistinthecommunityisanimportantmeasuretoimprovethecomprehensiveservicelevelofcommunityhealthcenters （CHCs），promote the more reasonable medical order，and implement hierarchical medical system.In thisarticle，wefind thatmostofCHCsinthecityhavecarriedouttheclinicaldiagnosisandtreatmenttechnologycombinedwithgeneralpractice andspecialty，byanalyzethedocumentsrelatedtothedevelopmentofcommunityhealthinShanghaiandpublishedliterature， andcombinethesurveyresultsof thesetechnologiescarriedoutby Shanghaicommunityhealthcenters.Ithas becomean importantstrategy forCHCstoimprovetheirclinicalcapacity，thedevelopmentof thesetechnologies，byfocusingoncommon andfrequentlyoccuringdiseasesinthecommunity，andcombining itsownmedicaladvantages，toselectappropratedisease types.However，duringthedevelopmentoftheclinicaldiagnosisndtreatmenttechnologycombinedwithgeneralpracticeand specialist，therearesomedificulties，suchasthelackofrelevanttalents inthecommunityandawarenessofsomeexpertsoncommunityspecializedservices，thedifcultyofin-serviceducationof generalpractitioners，besides，specializeddrugine communityandbrandpublicityoncommunitycharacteristictechnologiesarealsoindispensible.Thedevelopmentoftheclinical diagnosisandtreatment tchnologycombined with generalpracticeandspecialistinthecommunityneeds thepolicysupportofthe healthadministrativedepartment.Wesuggestthat CHCsshouldcaryoutthetrainingofthecombinationof general practiceand specialistincombinationwiththeprofesionaldevelopmentofgeneralpractitioners，increasethedrugsforspecialtyandspecial disease diagnosis and treatment，propagate thecommunitycharacteristic technology inmultiple ways，and explore the general practiceand specialist combined diagnosisand treatment mode innovatively.

【Key words】General practice；Hospitals，special；Collaboration of general practice and speciality；Practice patterns，physicians'； Community health services；Hierarchical diagnosis treatment；Service ability

基層首診是分級診療中的關(guān)鍵環(huán)節(jié)，實現(xiàn)基層首診是促進基本醫(yī)療衛(wèi)生服務均等化的重要舉措之一。（剩余14140字）