城市社区卫生服务体系建设研究

【作者】 钱文良；

【导师】 刘学平；

【作者基本信息】 中南大学 ， 行政管理， 2011， 硕士

【摘要】 城市社区卫生服务是城市卫生工作的重要组成部分,是实现人人享有初级卫生保健目标的基础环节,是构建新型城市卫生服务体系的基础。为社区居民提供安全、有效、便捷、经济的公共卫生服务和基本医疗服务,是深化城市医药卫生体制改革、有效缓解城市居民看病难、看病贵问题的重要举措。大力发展社区卫生服务,是在政府领导、社区参与、上级卫生机构指导下,构建以社区公共卫生服务为基础,社区卫生服务机构与医院和预防保健机构分工合理、协作密切的多渠道、广覆盖的新型城市社区卫生服务体系,进而推动城市医疗卫生体制的改革。现代医学服务模式转变的一个重要标志就是开展社区卫生服务,社区卫生服务正逐步成为医疗卫生服务领域在今后很长一段时期内的重要研究课题。本文立足城市社区卫生服务体系建设研究,以新公共管理和社区公共服务供给理论为基础,从探讨社区卫生服务体系基本概念、功能、定位出发,以赤马港社区为例,深入具体地研究了城市社区卫生服务体系建设的现状,分析了存在的问题和造成问题的原因,并提出相应的切实有效的解决对策。本文旨在为赤壁市社区卫生服务体系建设提供合理可行的决策支持,并对我国城市社区卫生服务体系建设的健康发展提供一定的参考。更多还原

【Abstract】 The community health services in towns health work an important part of achieving universal access to primary health care objectives of the basic link,is to build a new urban health service system foundation for community residents to provide safe, effective, convenient and economical public health services and basic medical services, is to deepen urban medical and health system to effectively alleviate the urban medical care difficult and expensive issues important step. Great efforts to develop community health service is in the government leadership, community involvement, under the guidance of higher level health institutions, build community-based public health services, community health services and preventive health care and hospital institutional division of labor is reasonable, in close collaboration with multi-channel, wide coverage new type of urban community health service system,thereby promoting the urban medical and health system reform. One of the important marks of the transformation of modern medical service mode is developing community health services, community health service is gradually becoming a important research subject in medical and healthy services during a very long period.The paper is based on the study of urban community health service system construction, with new public management and community public service supply theory as the foundation.Then, from the discussion of Chinese urban community health service system, based on the basic concept with small-bore as the breakthrough point, in-depth studies specifically actual community health service system construction circumstance of Chimagang community in Chibi City.Through describing and analysing community health service system mechanism operation condition of Chimagang community, then analysing the existing problems in community health service system construction, and find out community health service system construction of Chimagang community, then analyses the main problems and the main reasons for these problems, and put forward the corresponding practical and effective countermeasure to solve. This paper aimed at speeding up improving ChiBi city communities community health service system construction to provide the theory basis and the reference solutions, so as to promote the urban community health service development更多还原