关键词: 病人转诊, 全科医生, 家庭医生签约服务, 分级诊疗

Abstract: Family doctor contractual service plays an important role in safeguarding the health of the Chinese people in the new era，which is in the exploratory stage.Bidirectional referrals connect the services delivered by the grassroots medical institution and tertiary general hospital，and provide strong support for family doctors offering continued care for contracted residents.Therefore，optimizing the bidirectional referral system can improve the service capabilities of the family doctor so as to provide high-quality continued care and enhance the development of hierarchical medical system.The implementation of bidirectional referral system in China faces many challenges，but has obtained some achievements，for example，the internet-based bidirectional referral model optimizes the bidirectional referral process and improves medical resources sharing.Fuxing Hospital，Capital Medical University uses the internet-based bidirectional referral model，and established an internet-based bidirectional referral platform.From 2015 to 2017，it provided bidirectional referral services for 5 400 patients via the platform being perfected while in use.Although the bidirectional referrals increased significantly in this period，the percentage of downward referrals increased unnotably，indicating that the platform needs further improvement.The latest optimized platform has been put into operation in January 2018，and the downward referrals implemented via it show a fair growth.

Key words: Patient transfer, General practitioners, Family doctor contractual services, Hierarchical diagnosis and treatment