服务连续性是全科医学核心特征之一,主要包括人际连续、管理连续和信息连续性等维度。乡村医生承担着全科医学的任务,在保障农村居民卫生服务连续性方面发挥着重要作用。作为基本医疗、公共卫生和初级保健的提供者,乡村医生应当注重与农村居民建立持续而良好的人际关系,与上级医疗卫生机构人员增强联系和合作;提高自身综合素质,能够记录并共享电子卫生信息;同时转变服务方式,推行签约服务。在乡村医生提供连续性服务,逐步向全科医生转变过程中,还存在着村医整体素质偏低等挑战,但也面临医改增强基层卫生服务能力相关政策带来的机遇。
As the characteristics of general practice, continuity of health services mainly includes interpersonal continuity, management continuity and information continuity. As the main provider of basic medical care, public health and primary health care, rural practitioners should be more active in creating and sustaining interpersonal continuity with rural residents, and collaborating with other professionals. Rural practitioners should improve their comprehensive quality, particularly in electronic information record and sharing. It is suggested to change medical services mode and implement contract services. The transition from rural doctors to general practitioners is facing the policy opportunities of reinforcing grass-roots medical services in medical reform.