中新网上海7月19日电题上海家庭医生乐做居民“健康管家”

Beijing on July 19, Shanghai problem Shanghai family doctor music do residents“Health steward”

　　记者 陈静

Reporter borkhard

　　干净整洁的白衬衫，配上条纹领结和深海蓝色的裙子，如果不是肩上背着的出诊箱，有谁会想到，这是上海的一名家庭医生正在出诊途中。如今在上海城区内奔忙于各社区卫生中心和居民家的家庭医生约2000人，与之签约的家庭近77万户。

Clean white shirts，Deserve to tie and deep sea blue stripe dress，If not shoulder of carrying home box，Who would have thought that，This is a family doctor in Shanghai is on his way home。Now in Shanghai city in the community health service in the center and residents home family doctor about 2000 people，Contract family almost 770000。

　　在上海推出的一系列医改项目中，“家庭医生”制度一直备受关注，并入选“全国十大最有影响力的医改举措”。每个家庭、每个居民都拥有一名值得信赖的医生朋友；民众获得更便捷的医疗卫生服务；并得到个性化的健康管理服等在上海的社区里正逐步成为现实。

In a series of Shanghai medical launched project，“Family doctor”System has always been concerned，Was named to“National top ten most influential cure of the measures”。Each family、Each people all have a trustworthy friend of the doctor；People get more convenient medical and health services；And get individual health management in Shanghai clothes, etc in a community is gradually becoming reality。

　　一年多来，走入社区寻常百姓家中的“家庭医生”们想方设法“推销”自己，逐渐取得信任。他们为居民缓解病痛，提供健康咨询，控制医疗成本，甚至进行心理疏导，正努力成为民众的“健康管家”。

For more than a year，Walk into the community of the common people's home“Family doctor”Are trying to“sell”oneself，Gradually got trust。They is a resident of pain relief，Provide health advice，Control health care costs，Even psychological persuation，Are trying to become public“Health steward”。

　　据查，“家庭医生”一词最早出现在英国，如今在经济发达国家和地区的医疗服务体系中，家庭医生扮演着举足轻重的角色：他们是维护居民健康，确保医疗资源合理使用、控制医疗费用等的“守门人”。在上海，“家庭医生”被定义为，以全科医生为主体，通过与社区内家庭签约的形式，为家庭成员提供安全、有效、连续、可及的基本卫生服务的医务人员。相比西方的“家庭医生”，上海的家庭医生更多了为居民提供预防保健、慢性病管理、肿瘤随访服务等职责。

According to check，“Family doctor”A term originated in England，Now in the economic developed countries and regions of medical service system，The family doctor to play an important role：They are maintaining residents' health，Ensure medical resources reasonable use、Control of medical expenses“The gatekeeper”。In Shanghai，“Family doctor”Is defined as，To the general practitioner as the main body，Through the community and family signing forms，For family members to provide security、effective、continuous、But the basic health services and the medical staff。Compared to the western“Family doctor”，Shanghai family doctor more for the residents to provide preventive care、Chronic disease management、Tumor follow-up service functions。

　　2011年3月起，上海在长宁、闸北等10个区率先开展家庭医生制度试点，此后，第一个以社区医生名字命名的家庭医生工作室——陈华工作室正式挂牌。上海市卫生局最新消息称，今年内，上海将出台“试点指导意见”，“家庭医生”制度将覆盖此间所有区县。

Since March 2011，Shanghai changning in、Ten zhabei district spearheaded the family doctor pilot system，Since then，The first community named after the doctor family doctor do? Chen hua.very studio-the studio formal put up for sale。By Shanghai health bureau said the latest news，Within this year，Shanghai will come on stage“Pilot instruction opinion”，“Family doctor”System will cover all area county here。

　　记者今日走访最早探索“家庭医生”制度的周家桥社区卫生服务中心。“陈华工作室”就设于此。据了解，苏州河南岸的周家桥地区现有居民5万余人，社区的家庭医生共有19位，平均年龄不到40岁，有多位硕士、博士；其中两名医生具备高级职称。申城知名三甲医院是其“后援团”。该社区卫生服务中心副主任肖峰说，他们每人负责一到两个片区居民健康管理，签约最多者超400户。

Today the first visit to reporters explore“Family doctor”System ZhouGuQiao of community health service center。“Do? Chen hua.very studio”Is located in the。According to understand，The southern bank of the ZhouGuQiao areas existing inhabitants of more than 50000 people，The community of 19 a family doctor，An average age of less than 40 years old，More than a master's、dr；Two of the doctors have senior professional title。Shanghai is the famous 3 armour hospital“round”。The community health service center, deputy director of the XiaoFeng said，They each responsible for one to two area residents health management，Who made the greatest signing the of 400。

　　一早，记者就在社区卫生中心的电梯里邂逅了刚为签约居民做中医治疗归来的马医生。这个小伙子背着黑色双肩包，手持笔记本，汗流浃背，行色匆匆。肖峰告诉记者，平常，家庭医生们一半时间在社区服务中心或者居委会的服务站坐门诊；另一半时间则出诊“家庭病床”或者探访有需要的签约居民。

Early in the morning，Reporters were in community health center in the elevator, met just for signing Chinese medicine treatment of returning residents do horse doctor。The young man carrying black double shoulder pack，Handheld notebook，sweat，'s in a hurry to。XiaoFeng told reporters，ordinary，Family doctors half the time in community service center or the neighborhood of outpatient service station sit；The other half the time is given“Domestic sickbed”Or to visit the signing of residents。

　　当日在社区卫生坐门诊的家庭医生方红在接受采访时说，上午有30多名签约居民预约来看门诊。她告知，每周一都会到自己负责的13张“家庭病床”访视，为这些高龄、患病在身行动不便的居民量血压、测血糖或者进行用药指导、健康咨询。稍有空隙，她还要对“家庭病床”相关情况进行报表统计。

That day in the community health clinic family doctor FangGong sit in an interview，Morning had more than 30 signed an appointment to see outpatient service of residents。She told，Every Monday will be to own responsible of 13“Domestic sickbed”supervision，-for these、Sick of the body action inconvenience residents blood pressure、The blood sugar or medication guide、Health advice。Slight gap，She also need to“Domestic sickbed”Related condition statement statistics。

　　在此间首个家庭医生工作室——陈华工作室，记者见到“社区知名医生”陈华。这位由外科医生转型的“家庭医生”风趣地说，为了让居民了解家庭医生，并接受服务，曾“像推销员一样，一家一户地去敲门”，为了“和居民套近乎”，她几乎每个周末都参加社区举办的活动，抓紧一切机会让居民了解自己。记者看到，陈华的电脑里详细记录400多户签约家庭的1347份健康档案。她说，逢季节变换、天气突变或某位病人很久没有来看病，她都会打电话去提醒签约居民。

Here on the first family doctor do? Chen hua.very studio-the studio，The reporter saw“Community famous doctor”Do? Chen hua.very。The transformation by a surgeon“Family doctor”quipped，In order to let people know the family doctor，And accept service，had“Like as a salesman，A door to knock at the door”，In order to“And residents set almost”，She almost every weekend to participate in community activities，Take every opportunity to let people know you。The reporter sees，Do? Chen hua.very computer detailed records more than 400 households signed the 1347 health file a family。She said，Meet the seasons change、The weather mutation or a patient for a long time not to see a doctor，She will call to remind people signing。

　　经历坎坷的梅女士是陈华的“病人朋友”，每次来就诊都要和她聊聊心里话。陈华总是想方设法抽空满足其愿望。陈华表示，很珍惜前来就诊的患者。对于老年人而言，有时解决心理问题，，获得安慰甚至比治病本身更重要。

Experience bumpy mei do? Chen hua.very is“The patient friends”，Every time I come to seek truth and talk to her。Take time to do? Chen hua.very always tried to meet their desire。Do? Chen hua.very said，Cherish the patients to come round to see a doctor。As for old people，Sometimes solve psychological problems，，Get comfort even itself is more important than cure。

　　为了在感观上拉近与居民的距离，陈华提出脱掉白大褂，穿普通制服入户出诊的建议。如今穿得如空姐一般的家庭医生和居民们越来越亲近。陈华说，走进自己负责的片区，就“如同回家”。

In order to visually close the distance with the residents，Do? Chen hua.very off white put forward，Wear uniform enter a consultation suggestion of ordinary。Now wear such as the flight attendant the average family doctors and residents to more and more。Do? Chen hua.very said，Into own responsible area，it“As home”。

　　对于家庭医生制度的构建，人们说得最多的是家庭医生数量不足、医保和人事等配套政策有待跟进等“瓶颈”。对天天和社区病患打交道的陈华而言，年轻人拒绝接受家庭医生理念，对其服务“不买账”很让她郁闷。

The construction of the system for the family doctor，People say most was the family doctor shortage、Health care and the personnel and other supporting policies to follow up, etc“bottleneck”。Every day and community to deal with in the patients do? Chen hua.very，Young people refuse to accept the family doctor concept，The service“An unappreciative”Very let her depressed。

　　据了解，目前，社区居民，尤其是中青年群体，对家庭医生的认识仍然不足。如今，每位家庭医生签约居民中更少见年轻人。

According to understand，At present，Community residents，Especially young and middle-aged group，To the understanding of family doctors still inadequate。now，Each family doctor signing in young people more rare residents。

　　在社区行医多年的陈华也表示，希望更多的优秀医学人才加入全科医生、家庭医生的队伍。对此，上海已在多个著名三级医院和区县中心医院建立十多个全科医师临床培训基地。上海市卫生部门权威消息称，今年还将出台实施家庭医生骨干培养计划，并拓展社会各方资源与国际优质资源的合作渠道。除12名全科医师将远赴英国伯明翰接受培训外，上海还将和英国伯明翰大学、瑞典卡林斯卡大学、加拿大埃尔伯塔大学就全科医师培训等项目开展合作磋商。

In the community for many years of practicing medicine do? Chen hua.very also said，Hope that more and more excellent medical talents to join the general practitioner、The family doctor team。this，Shanghai has set up a file in the more famous level 3 hospitals and area county hospital center set up more than 10 general practitioner clinical training base。The department of health authority news said，This year also will be implemented family doctor backbone training plan，And develop social various resources and international quality resources cooperation channel。In addition to 12 of general practitioner will go to Birmingham, UK training outside，Shanghai will and the Birmingham university、Sweden's molins card university、Canada el "tower university is a general practitioner training project development cooperation consultation。