乡镇卫生院医疗服务能力的变迁分析.pdfVIP

。阁初级卫生保健2011 每5 同第25 卷第5 期(总鳞 305 期) I 专 栏 乡镇卫生院医疗服务能力的变迁分析* 袁敏①，吕军①，程亮①，孙梅①，曾雁;J]..①，汤善健②，冀明垒飞来i过立③， 林尚立④，梁鸿⑤，姜庆五⑥，王颖①，励晓红①，在风水①，罗力气都棋① 摘 要 通过比较2αm 年和 2ω8 年调查数据，研究乡镇卫生院医疗服务能力的变迁情况，以分析乡镇卫生优医疗服务功能落 实情况。研究显示:县、乡两级医疗机构相互影响的趋势有所增强，乡镇卫生院固立疗服务能力有所发展，但承担基本医疗服务 的能力依然不足。提示乡镇卫生院常典进…~.4.i基本阪疗服务的功能发位，提升提供质优价廉基本11.疗服务的能力。并建议 探索县、乡两级医疗机构合作共赢的运行机制。 关键词 乡镇.J.t!t院:原疗服务;功能定位;变迁 [中图分类号] R127 [文献标识码] A [文章编号] 1∞l 甲568X(20 11)05-0017田03 Medical ServicωCapacity ChangωofTow皿~hip HospitalsIYUAN Min , LV Jun , CHENG Li皿g， et al. IIChinese Primary Health Care , 2011 , 25例: 17-19 Abstract Through the comparation of 2ωo and 2ω8 survey data to identuy the changes of the medical servìces capacìty of township hospìtals, for research on the implementation of medical servìces functions of townshìp hospitals. Study show that the trend of interaction between county and townshìp levels medical ìnstitutions has been enhanced, medical service capacity of township hospìtals have ìn development, but the ability to take basic medical services are st迫l inadequate. Tip崎 that further development for township hospital should be bωed on the function of basic 阳sitioning， to improve high呵uality and low-price basic medical services. And recommended that county and township level medical institutions needωexplore a win-win cooperation mechanism. Key words township hospitals; medical services; function; changes Flrst咱uthor s addre咀s Research Institute of Health Development Strategies. Fudan Unìversity , Shangh剑， 2以lO32 ， Chìna 建国以来，我国农村医疗卫生事业取得了叫定进步，建 组织的功能，提升服务能力。 2ω2 年1中共中央、国务院 立起了县、乡、村三级医疗卫生服务网络。但长期以来，处于 关于进一步加强农村卫生工作的决定》提出，乡镇卫生院要 枢纽位置的乡镇卫生院，却是网络中最薄弱的环节，没有起 改进服务模式，深入农村社区、家庭和学校，提供预防保健 到三级预防保健网的