Management of Suburban Community Health Services within A Family Doctor- based Community Healthcare System

Objective To assess the family factor- based community healthcare mode in suburban areas in Shanghai,aiming at laying foundations for future modification and improvement.Methods Documents on the performance of the family doctor- based so- called service regionalized,team cooperation- enforced,and responsibility- individualized system in Jinshan Industrial Zone of Shanghai city during its trial implementation between 2011 and August,2012 were collected.Data on various performance variables were analyzed.Results By the end of August,2012,a total of 19 630(73.5%) local residents in studied zone signed contracts for health services provided within the test system.Medical records of outpatients were documented exclusively electronically.All(100.0%) contracted residents had theirhealth records achieved.The systematic management rates were all improved for obstetrics and gynecology,pediatrics,hypertension and diabetes as compared with 2010(P 0.05).The satisfaction score of community health service center was 94.4.Conclusion Family doctor- based service system may be a trend of the development of community health service mode,which can better maintain the residents' health and enhance the public service capacity.However,currently this system is associated with numerous limitations including shortage of family doctors,low doctor salaries,and big service radius,which must be resolved urgently.