摘要
目的了解各级政府对社区卫生服务政策制定与落实现状。方法问卷调查部分城市卫生行政部门,了解社区卫生服务相关文件、会议的时间、级别,各项具体政策的制定情况。结果调查各城市间社会经济发展水平差异巨大,有71.05%和55.26%的省属城市以党委和/或政府的名义下发关于发展社区卫生服务的相关文件和召开相关工作会议;对于各项社区卫生服务具体政策的制定,东部地区在组织保障、经费支持、质量监督等方面落实比例较高,西部地区在社区卫生服务的举办类型多元化、多渠道筹集资金等政策灵活性方面占有优势,中部地区在社区卫生服务的管理与全科医师培训等方面,政策制定比例较高。结论各种社区卫生服务政策逐步完善,并得到较广泛的落实;社区卫生服务工作在全国范围内发展不平衡;会议和文件是推动社区卫生服务政策制定与落实的主要形式,更重要的是落实,应大力加强。
Objective To have an eye on the establishment and implement status of different level governmental measures of community health service.Methods Several cities′ health administrative departments were investigated via questionnaires and acquired information about their community health related documentations and conferences including the time periods and levels as well as the details of measures establishment.Results There are great differences in social and economical development among different cities.71 05% and 55 26% cities put out documentations about community health service and held related conferences respectively in government′s name.As to the specific measures establishment,eastern area of China does well in arrangement,financial support and quality control,while the western area well in multi-patterns of constituting,multi-ways of funding and the middle part of China better in training the general practitioners and management.Conclusion Differentiated community health service measures are in development and implemented gradually and widely,and the development of community health is not balanced throughout the whole country.Documentations and conferences are the main ways of promoting the establishment of community health service while the implementation is in fact much more important and needs more attention.
出处
《中国全科医学》
CAS
CSCD
2005年第11期869-872,共4页
Chinese General Practice
基金
卫生部委托课题:卫生部卫基妇社区便函[2003]121号
关键词
社区卫生服务
政策
制定和落实
Community health service
Governmental measures
Establishment and implement
