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社区居民健康“守门人”集聚论坛

2017-08-23 07:02:16   中国青年网

论坛上家庭医生分享健康管理理论与思考。

如今“家庭医生”这个词,对我们来说已经并不陌生,越来越多的市民已经开始享受家庭医生签约服务带来的便利。截至2016年底,我省家庭医生签约服务率达40.16%,3269万人拥有自己的家庭医生。那么,在家庭医生签约和社区健康管理方面,社区有哪些思考呢?

双流区西航港社区卫生服务中心主任张智介绍,目前家庭医生签约,能较好地把公共卫生和基本医疗有机的结合起来,“目前整个双流区家庭医生签约情况还是比较好的,我们服务中心有家庭医生团队16支,整个服务人口超过14万。首先对低保户、残疾人以及糖尿病、高血压患者这一类的重点人群,要求签约率达到95%以上,目前我们签约率超过了95%,另外对普通人群,要求签约率是40%,目前我们签约率达到了45%左右。中心采取了一站式服务,通过提前帮患者预约,开通绿色通道,大大缩短了就诊时间,提高了服务质量。此外,我们通过区管院用,以及医联体建设,也有效地推动了家庭医生工作。”

温江区柳城街道社区卫生服务中心主任袁辉表示,基层卫生服务中心,主要履行政府的基本公共卫生服务和基本医疗两项职责,随着家庭医生制的推行,对基层这两项工作的开展奠定了基础。家庭医生又叫全科医生、通科医生、百姓身边的医生,所以社区基层医疗机构,就是在社区老百姓身边开展基本公共卫生服务、基本医疗。“我们在每个社区匹配了一支家庭医生团队,重点开展基本公共卫生,特别是健康档案的管理、慢性病管理、健康教育的工作。”袁辉说,中心也正在探索电子签约服务,实现真正有效的签约,达到签约后的有效服务。同时,通过签约家庭医生服务,推动了分级诊疗、双向转诊和上下联动,“我们已经和二三级医疗机构签订了紧密的医联体,还有一部分松散性、个性化的专科医联体。”

青白江区红阳社区卫生服务中心公共卫生科科长宋春林:“我们社区卫生服务中心成立了以全科医师、中医师、社区护士、公共卫生人员、以及乡村医生、社区志愿者等组成的家庭医生团队。作为全科医生、家庭医生,第一,要提高自己的工作能力、综合素质,明白基本医疗政策,医保政策,以及公共卫生服务政策,这样,我们在和老百姓签约的时候,可以给他们做到很好的沟通;第二,要明白我们能通过哪些方式跟老百姓提供签约服务,面对全人群比如说广大老百姓,可以通过播放视频、举办讲座、开展咨询活动等沟通;面对个体化的健康管理时比如签约对象时,家庭医生要尽可能为患者提供帮助,比如出现健康问题可以第一时间沟通,体检报告出来可以第一时间帮助解读等。”

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