CAJ | 학술논문

上海市从1997年开始加强社区卫生服务体系建设，在经历了“服务框架和网络建立期”和“运行机制改革期”后，在2011年正式进入以家庭医生制度为核心的“内涵建设期”。本文通过梳理上海市家庭医生制度相关政策文件，总结了这项制度的构建背景、目标以及核心内容，同时基于2013年度上海市家庭医生制度监测评估报告，从制度覆盖、居民签约、服务模式和运行机制四个方面总结了这项制度的实施进展，并从政策本身、服务主体、服务监管和服务客体等四个层面分析了这项制度目前的发展瓶颈，针对性地提出了政策建议，以期为我国进一步推进全科医生制度建设提供借鉴。
상해시종1997년개시가강사구위생복무체계건설，재경력료“복무광가화망락건립기”화“운행궤제개혁기”후，재2011년정식진입이가정의생제도위핵심적“내함건설기”。본문통과소리상해시가정의생제도상관정책문건，총결료저항제도적구건배경、목표이급핵심내용，동시기우2013년도상해시가정의생제도감측평고보고，종제도복개、거민첨약、복무모식화운행궤제사개방면총결료저항제도적실시진전，병종정책본신、복무주체、복무감관화복무객체등사개층면분석료저항제도목전적발전병경，침대성지제출료정책건의，이기위아국진일보추진전과의생제도건설제공차감。
Shanghai began to strengthen the community health service system in 1997 , and had officially en-tered the period of “connotation construction” with the core policy of family doctor system in 2011 after the period of“service framework and network establishment” and“operational mechanism reform”. Through summarizing the poli-cy files related the family doctor system and based on 2013 report on monitoring and evaluation of family doctor system in Shanghai, the paper presented the progress of the system from aspects of system coverage, signature relationship, service mode and operational mechanism, and analyzed the development bottlenecks of the system from aspects of the policy itself, service principal, service supervision and service objects. Finally, the paper proposed some suggestions in order to give some references for further development of national general practitioner system.