The author examined a new model of the trusteeship of the public service equipment in community through the Luoshan Civil Community Pudong, Shanghai,which is a systematical experiment—put the public service equipment...The author examined a new model of the trusteeship of the public service equipment in community through the Luoshan Civil Community Pudong, Shanghai,which is a systematical experiment—put the public service equipment owned by governments under the trusteeship of NGO,planned by the Social Development Bureau of Shanghai Pudongxinqu District and operated by the Shanghai Young Men’s Christian Association. The aim of the model is through the coorporation between the government and the NGO to provide communities with public service products and carry out industrial management from the object,quality,price to cost of public service by the way of simulated market.The author believes that cultivating the model is a research and test process of the community public service policy.It’s very important for researching community construction and increasing the supply of public service.展开更多
目的：了解不同类型医联体主体医院社区首诊、双向转诊执行情况及托管模式内在动因,为可持续推进医联体提供科学依据。方法自制问卷调查,在3种类型医联体主体医院上海 A 医院、湖北 B 医院、江苏 C 医院医务人员中发放,同时进行访谈。结...目的：了解不同类型医联体主体医院社区首诊、双向转诊执行情况及托管模式内在动因,为可持续推进医联体提供科学依据。方法自制问卷调查,在3种类型医联体主体医院上海 A 医院、湖北 B 医院、江苏 C 医院医务人员中发放,同时进行访谈。结果3家医院均认为有必要推动社区首诊和双向转诊,推动影响因素差异有统计学意义（P 〈0.05）,A 医院54%、C 医院36%认为要建立全民医保体系；托管制模式选择3家医院差异有统计学意义（P〈0.05）,B 医院85%、C 医院63%认为紧密型,A医院66%认为松散型,3家医院均认为实行直管的最主要障碍是体制因素。结论双向转诊已成为医联体的纽带,但更应建立紧密型医联体,同时推行直管托管模式,在推行医联体的过程中要区域规划、运行机制、利益分配、医保政策、知信行统一统筹兼顾。展开更多
文摘The author examined a new model of the trusteeship of the public service equipment in community through the Luoshan Civil Community Pudong, Shanghai,which is a systematical experiment—put the public service equipment owned by governments under the trusteeship of NGO,planned by the Social Development Bureau of Shanghai Pudongxinqu District and operated by the Shanghai Young Men’s Christian Association. The aim of the model is through the coorporation between the government and the NGO to provide communities with public service products and carry out industrial management from the object,quality,price to cost of public service by the way of simulated market.The author believes that cultivating the model is a research and test process of the community public service policy.It’s very important for researching community construction and increasing the supply of public service.
文摘目的：了解不同类型医联体主体医院社区首诊、双向转诊执行情况及托管模式内在动因,为可持续推进医联体提供科学依据。方法自制问卷调查,在3种类型医联体主体医院上海 A 医院、湖北 B 医院、江苏 C 医院医务人员中发放,同时进行访谈。结果3家医院均认为有必要推动社区首诊和双向转诊,推动影响因素差异有统计学意义（P 〈0.05）,A 医院54%、C 医院36%认为要建立全民医保体系；托管制模式选择3家医院差异有统计学意义（P〈0.05）,B 医院85%、C 医院63%认为紧密型,A医院66%认为松散型,3家医院均认为实行直管的最主要障碍是体制因素。结论双向转诊已成为医联体的纽带,但更应建立紧密型医联体,同时推行直管托管模式,在推行医联体的过程中要区域规划、运行机制、利益分配、医保政策、知信行统一统筹兼顾。
