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      Exploration and practice of general practitioner responsibility system in an urban community of Shanghai

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          Abstract

          Objective: The Minhang district of Shanghai was selected as the subject and its public health management model was investigated.

          Methods: Minhang became a pilot location for the implementation of the general practitioner responsibility system (GPRS) in 2011. Since then, the management model of public health services in the district has gradually merged with the GPRS through a series of actions: the adjustment of organizations and the coordination mechanism in community public health services, the integration of basic public health services and clinic practice, the establishment of an informationized Internet service platform, comprehensive budgeting management of public health service programs, and performance assessment management of health workers.

          Results: By the end of 2014, the number of residents who had a contractual relationship with a general practitioner (GP) in Minhang had reached 1.4367 million and all of them had family health records. Compared with 2010, both the rate of maternal management and the rate of children management stayed at high level (≥96%), the rate of hypertension management increased (40.73% vs. 28.70%), the rate of blood pressure control increased (82.13% vs. 77.51%), the incidence of diabetes decreased (21.93% vs. 37.85%), the rate of effective control of blood glucose for diabetic patients increased (82.43% vs. 62.77%), and the rate of child health management increased (99.79% vs. 91.54%).

          Conclusion: The GPRS has helped to create a better community health environment. However, the development of this system is limited by several factors, including the following: the shortage of GPs, most GPs do not have good public health service skills and a correct public health concept, unclear division of different services, and imperfect department coordination.

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          Most cited references 12

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          Application of comprehensive budgeting management in medical units

           YM Su (2013)
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            Cognitive analysis and policy advice for family doctors in Shanghai – based on family doctor system

             Y. BAO,  XL Du,  A. ZHANG (2012)
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              Management of suburban community health services within a family doctor-based community healthcare system

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                Author and article information

                Journal
                FMCH
                Family Medicine and Community Health
                FMCH
                Compuscript (Ireland )
                2009-8774
                2305-6983
                December 2015
                December 2015
                : 3
                : 4
                : 15-22
                Affiliations
                1Center for Disease Control, Minhang, Shanghai 201105, China
                Author notes
                CORRESPONDING AUTHOR: Yanping Zhao, BSc, Center for Disease Control, Minhang, Shanghai 201105, China, E-mail: zhaoyanping63@ 123456yeah.net
                Article
                fmch20150144
                10.15212/FMCH.2015.0144
                Copyright © 2015 Family Medicine and Community Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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                Self URI (journal page): http://fmch-journal.org/
                Categories
                Original Research

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