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村卫生室实施基本药物制度初期面临的问题与建议
引用本文:黄婷婷,陈家应.村卫生室实施基本药物制度初期面临的问题与建议[J].中国初级卫生保健,2012,26(6):35-37.
作者姓名:黄婷婷  陈家应
作者单位:南京医科大学医政学院公共卫生事业管理系 南京210009
摘    要:在总结各地村卫生室开展基本药物制度经验的基础上,提出村卫生室实施基本药物制度存在的问题包括:补偿方式不合理、村医合理收入难保障、村医养老问题未解决、不规范医疗行为和村卫生室用药未满足需求.提出政策建议:包括合理确定补偿方式及补偿额度,保障村医合理待遇、建立有效绩效考核机制和调整基本药物种类.

关 键 词:村卫生室  基本药物制度  乡村医生  补偿模式

Problems and Suggestions About the Implementation of National Essential Medicines System in Village Clinics at the Initial Stage
HUANG Ting-ting , CHEN Jia-ying.Problems and Suggestions About the Implementation of National Essential Medicines System in Village Clinics at the Initial Stage[J].Chinese Primary Health Care,2012,26(6):35-37.
Authors:HUANG Ting-ting  CHEN Jia-ying
Institution:College of Medical Affairs Department of Public Health Management,Nanjing Medical University,Nanjing,210009,China
Abstract:On the basis of summarizing some provinces’ experience in implementing the national essential medicines system in their village clinics,some problems are identified,including unreasonable compemsation modes,difficulties in guaranteeing village doctors appropriate income and suitable old-age insurance,nonstandard medical practices,and unsatisfied needs for medicines in village clinics.Accordingly,four policy recommendations are proposed which are establishing scientific modes and amount of compensation,providing suitable salary and old-age insurance for village doctors,establishing effective performance assessment mechanism,and adjusting the essential medicines list used in village clinics.
Keywords:village clinics  national essential medicines system  village doctors  compensation mode
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