| 非政府举办社区卫生服务机构管理与运行中的问题及对策 |
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| 引用本文： | 陆丹,李胤,张志英,段孝建,于玺文,樊立华. 非政府举办社区卫生服务机构管理与运行中的问题及对策[J]. 医学与社会, 2012, 25(4): 26-28 |
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| 作者姓名： | 陆丹 李胤 张志英 段孝建 于玺文 樊立华 |
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| 作者单位： | 1. 哈尔滨医科大学,哈尔滨,150086
2. 黑龙江省卫生厅,哈尔滨,150090 |
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| 基金项目： | 中国社区卫生科研基金,项目编号为2010-2-5-11 |
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| 摘 要： | 目的:分析非政府举办社区卫生服务机构管理体制与运行机制中存在的问题,提出相关对策及建议。方法:采用深入访谈法与问卷调查法对20家机构进行调查。结果:被调查的社区卫生服务机构平均每万人口全科医生、全科护士、公卫医师之比为4.08:2.23:0.17;培训几率与举办主体相关;双向转诊逐步开展;筹资主要靠政府拨款与卫生服务利用者付费。结论:非政府社区卫生服务机构应不断改善其管理及运行中存在的问题,探索适合其发展的管理体制与运行机制。
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| 关 键 词： | 社区卫生服务 管理体制 运行机制 |
Problems and Countermeasures in Management and Operation of Non-government-run Community Health Services |
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| Affiliation: | Lu Dan et al Harbin Medical University,Harbin,150086 |
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| Abstract: | Objective: To analyze the existing problems in the management system and operation mechanism of non-government-run community health services,proposes relevant recommendations.Methods: Investigated 20 institutions by using in-depth interviews and questionnaires.Results: The ratio of average ten thousand population of general practitioners,general nurses and public health physician was 4.08:2.23:0.17,training and organizing the subject is related,two-way referral is gradually increasing,financing depends mainly on government and the payers of health service.Conclusion: Non-government community health services ought to solve continually the problems in its management and operating,to explore management system and operation mechanism for its development. |
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| Keywords: | Community Health Services Management system Operating mechanism |
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