二级医院向社区卫生服务转轨的实践

作为一所城市二级甲等综合性医院,根据客观环境和主观条件,认真审时度势,做出正确选择,向社会卫生服务转轨。在实施社区卫生服务转轨过程中,主要做了转变观念、进行医院结构和功能调整、建立家庭医生服务模式、以团队形式开展“六位一体”的服务、实行规范管理等工作,取得了一定的成效,得到了社区的认可。在此基础上,认真思考如何扬长避短,发挥二级医院优势,做好社区卫生服务工作。同时呼吁对社区卫生服务的价格体系、筹资与补偿机制、成本核算、人事制度改革等问题给予重视和解决。

Practice in reorienting a second-tier hospital towards community health service

In light of the objective circumstances and its subjective conditions, our hospital, a grade A, second tier urban general hospital, made the right choice of reorienting itself towards community health service after making a careful assessment of the current situation. In the course of the reorientation, our hospital mainly focused on such tasks as change of concepts, readjustment of its structure and functions, establishment of the service mode of the family physician, delivery of the "six in one" service in the form of a team, and implementation of standard management. Such efforts proved to be fruitful and won the approval of the community. On the basis of this, our hospital tried hard to exploit to the full its favorable conditions as a second tier hospital in providing community health service and called for attention and solution to such issues as the pricing system, the fundraising and compensation mechanism, cost accounting, and reform of the personnel system in the delivery of community health service.