2022年上海市医师协会全科医师分会年会主题报告（一）

本文内容来源于2022年7月22日由上海市医师协会、上海市医师协会全科医师分会主办的"第二届海上全科医师论坛"，主要包括《基层医疗在整合医疗中的作用》《创建全科医学科为国家临床重点专科》《上海市基层卫生发展趋势》《拥抱变化，更好更强》四部分。其中，《基层医疗在整合医疗中的作用》从整合程度、整合层面、整合方向3个维度阐释了"整合医疗"的概念与内涵，并就整合医疗在制度、管理、支付、服务模式、技术应用5个层面的实现路径做了详细介绍；在分析基层医疗和整合医疗共性特征的基础上，阐释基层医疗在上述5个层面对整合医疗的助推作用。《创建全科医学科为国家临床重点专科》从全科医学科在卫生保健改革、满足居民卫生服务需求中的重要作用出发，阐述了创建全科医学科为国家临床重点专科的必要性，认为创建临床重点专科需做到：提高全科医学科学术地位，推进全科医学人才建设，提升全科医学科区域协同能力，形成全方位全周期健康照护专科特色，加快全科医学科研创新发展。《上海市基层卫生发展趋势》肯定了基层卫生对城市健康发展的贡献，提出在"大健康"的背景下进一步的重点工作为推进健康老龄化和实现出生人口提升计划；上海基层卫生的发展趋势在于创新，而基层卫生高质量发展工作的创新需要由全科医生作为推动者和牵头者，创造出新的健康服务模式。《拥抱变化，更好更强》，认为当前社区卫生服务的"薄弱"之处，并非发展之初的硬件或人员配置不足，而是体现在全科学科建设方面。全科医学领域工作者应主动面对和接纳当前国家健康战略的变化、健康需求的变化、医学模式的变化、自身发展/管理的变化，开展主动健康，应对多病共存，加强全-专结合，关注需方角度的服务评价，以助力全科医学学科建设。

2022 Annual Meeting of General Practitioners Association of Shanghai Medical Doctor Association (Ⅰ)

The content of this article came from "the Second Shanghai General Practitioners (GPs) Forum" hosted by Shanghai Physicians Association, General Practitioners Division of Shanghai Physicians Association, Shanghai, China, on July 22, 2022, and mainly included four sections as follow: the Role of Primary Medical Care in Integrating Medical Treatment, Constructing General Medical Sciences as National Key Clinical Specialty, Trends in the Development of Primary Health in Shanghai, and Embrace Change, Become Better and Stronger. Among them, the Role of Primary Medical Care in Integrating Medical Treatment illustrated the concept and connotation of "integrated medical treatment" from 3 dimensions: the degree of integration, the stratum of integration, and the direction of integration, and gave a detailed introduction to the realization pathway of integrated medical treatment at 5 levels: the system, management, payment, the service model, and the application of technology; based on the analysis of the common characteristics of primary care and integrated medical care, it illustrated the booster role of primary care in integrating medical treatment at the above 5 levels. From the important role of general practice departments in health care reform and meeting the needs of resident health services, Constructing General Medical Sciences as National Key Clinical Specialty illustrated the need to create a general practice department as a state key clinical specialty, and believed that creating a key clinical specialty need to do the following: creating a high-level of general practice department status, advancing the construction and development of talents in general practice, enhancing the regional collaborative capacity of general practice disciplines, and forming the characteristics of the full range of full cycle health care specialists, thereby promoting the scientific research and innovation development of general practice medicine. Trends in the Development of Primary Health in Shanghai affirmed the contributions of primary health to urban health development, and in the context of "big health", further focused efforts were proposed to promote healthy aging and achieve birth population promotion; the development trend of primary health in Shanghai lay in innovation, while innovation in high-quality development efforts of primary health required GPs as both enablers and leaders to create new models of health services. Embrace Change, Become Better and Stronger argued that the current "weakness" of community health services, was not the hardware or staffing deficit at the beginning of development, but was embodied in the construction of general disciplines. Working staff in the field of general practice should take the initiative to face and accept current changes from the national health strategy, in health needs, medical models, and their own development/management, carry out active health, cope with the coexistence of multiple diseases, strengthen the general and special combination, and focus on service evaluation from the perspective of consumers to assist the discipline construction of general practice medicine.