关键词: 社区卫生服务, 家庭医生, 服务模式, 服务效果

Abstract: During the implementation of a new round of comprehensive reform of community-based care system in Shanghai，Malu Community Health Service Center（MCHSC） rebuilt a family doctor team consisting of members recruited competitively，with defined service content and family doctor-centered internal management mechanism，offering services in a community-based family doctor-centered care delivery model via specific ways of working based on the conditions of the service area（including working in the family doctors' studio constructed specially）.Since this care delivery model was put into practice，MCHSC has achieved significantly increased rate of resident population and chronic disease patients signing a contract with the family doctor team，obviously enhanced rate of visiting，substantially improved basic public health service quality indicators，social indicators for evaluating the performance of family doctors，allocation status of general practitioners and research capabilities.The community-based family doctor-centered care delivery model is of vital significance in giving full play to the role of the family doctor as a gatekeeper contributing to primary care quality assurance and healthcare cost control，advancing healthcare seeking in a hierarchical manner and promoting residents' health.

Key words: Community health services, Family doctors, Service model, Service effect