厦门社区卫生服务模式效果初探

对原有社区卫生服务中心公共卫生与基本医疗功能进行合理划分,推进厦门市医疗资源的垂直整合,构建出具有厦门特色的新型社区卫生服务体系.由三级医院承办社区医疗服务中心;由区政府承办社区公共卫生服务中心;实行全额拨款、收支两条线.从效果看降低了医疗和药品费用,提高r居民满意度.但也存在三级医院对社区医疗服务理念理解偏误,财政补偿机制不完善等多种问题,需进一步探索一套与之相适应的运行管理机制.

The Xiamen model for community health service

In February 2008 the Xiamen Municipal Government reorganized the health service in Xiamen City to create a"Xiamen Model"for community health service.The community health service centers were divided into two parts:the public health service was directly undertaken by the loal government,and the medical service was affiliated to one of the tertiary hospitals.Both were financed by govemment budget,but operated separately.A recent survey showed that the "Xiamen model" promoted the vertical integration of Xiamen medical resources.increased the service efficiency,reduced the medical and drug cost,and improved the satisfaction of local residents.Nevertheless,there were still some problems;the tertiary hospital should change its service pattern and enhance general practice in the community,the finance compensating mechanism need to be improved.