上海市社区卫生服务改革的困惑与思考

社区卫生服务以便捷、低廉、高效、连续等特点已成为现代医疗保健系统的主要组成部分.加快推进社区卫生服务综合改革,是社区卫生服务工作者必须认真思索并努力实践的重大课题.城区实行社区卫生服务的综合改革面临人力资源匮乏、工作内容界定不清晰、双向转诊效果不理想、收支两条线管理对社区卫生服务中心的支持作用不明显等问题.因此需要进一步落实措施,体现其作用.

Puzzle and Thinking of Community Health Service's Reform in Shanghai

Community health services (CHS) has become the major part in modern health care system by providing accessible,economical,effective and continuous health service.To speed up and drive comprehensive reform of community health service is a great task for community medical staff to seriously consider and hardly practice.Currently,some problems such as lacking of community human resources,in distinction of defined CHS work,non-desirable effects of two-way referral,and non-evident supporting role of separate management of income and expenditure to the CHS center have been still there in practice of reforming CHS.So,in order to promote development of CHS,the further measures need to be curried out to make its action come true.