摘要
为全面了解2015年度上海市社区卫生服务改革与发展现状,结合国家和上海相关政策文件要求,本文从区县和社区卫生服务机构两个层面对上海市社区卫生服务进行综合评价。上海市各区县层面在政策落实、资源投入及健康管理体系构建方面进展顺利,但在财政投入、机构布局、人力资源投入、信息化功能实现和应用方面仍有提升空间;机构层面,各社区卫生服务机构在公共卫生和计划生育方面的工作开展情况较好,但基本医疗和效率相关指标达标率较低;社区卫生服务综合改革试点社区进度不一,尤其在推进实施层面与政策存在脱节。总体来看,上海市社区卫生服务工作需从服务体系构建、综合改革、人力资源投入、信息化建设及患者就医体验5个方面做好制度保障和资源配置工作,以期提高社区卫生服务水平。
To fully understand the current situation of community health reform and its development in Shanghai in2015,this paper sums up the comprehensive evaluation results of community health services in Shanghai from the level of districts and community health service institutions respectively with requirements of relevant national policy and local documents of Shanghai. In districts of Shanghai,the policy implementation,resource input and construction of health management system were running smoothly, while there was still room for improvement in the aspects of financial input, institutional layout, human resource input and application of informatization. In community health service institutions of Shanghai,the work of public health and family planning was progressing well,while efficiency-related indicators of primary medical care had a relatively low up-to-standard rate. Progress on comprehensive reform of community health services was at different stages in pilot communities,especially the separation between the implementation level and the policy-making level. Based on the comprehensive evaluation results,it is necessary to realize system building and resources allocation in five aspects of service system construction,comprehensive reform,human resources input,information system construction and patient experience in the community health reform in Shanghai in order to improve the quality of community health services.
出处
《中国全科医学》
CAS
北大核心
2017年第34期4242-4247,共6页
Chinese General Practice
基金
美国中华医学基金会卫生体系研究与政策转化合作项目(CMB-CP 14-190)
第四轮上海市公共卫生体系建设三年行动计划(2015-2017)--基于大数据的上海市卫生决策支持体系构建(GWIV-33)
关键词
社区卫生服务
评价研究
公共卫生
卫生保健改革
上海市
Community health services
Evaluation studies
Public health
Health care reform
Shanghai
