The Research Of Shanghai Medical Platform For Appointment & Referral Service

In the nationwide implementation of trial appointment referral service is a kind of trend, which may improve the social economics of medical service, reduce the patient in the hospital unnecessary reentrant, shorten the patient waiting time in the hospital, rather than the production of streamline countless repeated and disorder. To bring the patient benefits at the same time, the doctor frees up more time to see a doctor, the doctor had a pre judgment of arrangements, but also to the doctor increased health management content. However, the establishment of an appointment referral service and does not just cast out, need system, technology and science of guarantee, system is a kind of from the government level to standardize to requirements, technology is a kind of from the market level to try to achieve the content, management is a strong guarantee measures.Shanghai medical platform is in the practice of appointment referral service, it was launched not smoothly. First of all, it was high-pressure situation to let hospital platform schedule, which can let the community to sign for the residents to make appointments for referral services. Just as community trudging let signing residents referral in slowly appreciate the reservation service advantage, at the same time many hospitals are shrinking platform number source schedule. Then, it is necessary to make an appointment with the reserved by both sides based trust mechanism requirement.The relationship between the thin layer and don’t be performing repeatedly defeated their laissez faire behavior freedom to destroy the weakness relationship. Finally, many hospitals may may keep a little patience, the community may develop a little more rapidly. On the other side, it needs to relevant departments hand management, with more advanced technology to share the signal source, with the more hard line policies to ensure the signal source priority.In this thesis the author mainly in community health service center GP signed for the residents to provide appointment referral service as a starting point for a comprehensive and depth of investigation and study.The results showed the contracted residents of GP confidence level is not high, signing residents to provide for general practitioners appointment referral service awareness rate high, namely to signing GP duties, functions do not understand, GP appointment referral service has not been fully utilized. Recommended the strengthening of general practitioner training, and comprehensively improve the level of business, from the professional skills, and on-the-job physicians of the rotation for 2 years of training is also very necessary. GP and signing residents is very positive for the appointment referral service attitude, for GP signing residents still have hope and demand. If the method once the community health service centers and three grade hospital to solve the intensive treatment community medical words, effective path is also to achieve the first diagnosis, community classification triage, combining prevention with control.In a word, after a trial popularity in recent years of GP in the family doctor system and community residents to know and trust GP have improved, the residents have been gradually accepted by general practitioners, and the family doctor system is full of expectation, through the reform and further perfect the basic medical, China will enter a new chapter.