社区卫生服务属地化管理的实践和探索

目的通过对社区卫生服务实施属地化管理的实践，尝试探索社区卫生服务管理的新方法，更好地体现公益性和保障社区居民的健康。方法建立社区卫生服务属地化管理组织机构，制定相关的规章制度和操作方法及职责，引入第三方评议并与绩效挂钩。结果属地化管理是在新形势下优化社区卫生服务运行机制和公共卫生资源配置的一个探索性的管理新机制。从不同利益方来说，实施属地化管理这种模式，都有一定的好处，社区责任医生下社区有了一个较好的平台，社工人员为民服务的工作内涵更加丰富，政府改善民生的政策得以落实和实现。而且，在对社区责任全科团队管理方面也有了不同程度的提升，既提高了服务质量，又促进了医患和谐。结论社区卫生服务属地化管理对维护社区居民的健康是有利的。

The Exploration and Practice of Localized Management of Community Health Service

Objective To explore a new way in community health service management,emdody the public welfare and ensure the community resident＇ s health through the practice of the localized management for community health service. Methods Local management organizations and agencies of community health service were established, the related rules and regulations were formulated,procedures and responsibility for the localized management were operated, the performance with third-party evaluation was estimated and the firewood fulfil was linked up with the evaluation. Results Community health service localization was a new exploring administration mechanism to optimizes the community health service operational mechanism and the distribution of public health resouses under the new situation. The implementation of localized management had certain benefits. Community health physician had a platform to enter the community, the meaning of work for community workers to serving the people would be ricbed, the policies of government to improve livelihood of the people could be carried out and come true. Moreover, it had a varying degree promotion in the aspect of community responsibility team management, not only advanced the service quality, but also promoted harmonious in the physician-patient relationship. Conclusion Localized management of community health service was necessary to bepopularized.