Study Of The Family-doctor System In Shanghai

Family doctor system is a powerful gripper to perfect the system of universal health care, and it is also an important approach to further deepen the reform of medical health system. In the background of the "Internet +" era and policy for the deepening medical and health system, explore the new path of perfect family doctor system in Shanghai is not only positive response to the basic health of residents of new demand, but also can enhance the overall efficiency of the medical and health service system and medical service quality. As the pioneer of new reform and pioneer, shanghai in the national demonstration radiation effect is not allow to ignore, analyze the effect of Shanghai municipality on implementing the family doctor system and improve the path are of great significance to analysis the benign sustainable development of the system, but also provide replicate and replicable experience to advance the family doctor system for other regions.On the basis of summarized the establishment process and characteristics of the Shanghai family doctor system, this article scientifically selects family doctor system "Binary" behavior body- family doctors and residents as the research object, through field survey in Shanghai 8 zone 21 streets to analysis the implementation effect of the family doctor system and summed up the family doctor system results: family doctor’s signing rate and residents satisfaction is higher, the convenience and order of community residents medical treatment is improved at the same time also reduces the medical expense, doctor-patient relationship has dramatically improved and construction of electronic health records has achieved initial success, etc. But at the same time, there are some problems: quantity and quality of gap of the family doctor is bigger, intrinsic motivation is insufficient, information platform construction need to be strengthened, signing rate and residents were mismatches and the lack of corresponding supporting policies and other issues.To this, this article from two horizons(the horizontal and vertical) puts forward systematic optimization model to improve the family doctor system: in the context of "Internet +", in order to improve the mechanism of the system construction as the main body, human resources allocation, management system design and top-down institutional guarantee are the key links, by pay attention to organization, management, facilities and talents to ensure that the advance of the family doctor system can realize goals that supply and demand of medical service is matching, resource allocation and medical services are more fair, all kinds of policy is to support each other and progress together. In addition, it is still need to gradually promote the development of family doctor system from the perspective of the "five main line" :(1) clear the responsibility of behavior body of the family doctor system;(2) Stepwise exploration advance "Internet + family doctor" model;(3) pay attention to the training and examination of family doctors;(4) improve management and supervision of before, during and after of the system operation;(5) improve the supporting policies and mechanism design.