三级医院在推进社区卫生服务中的作用和模式.pdfVIP

COMMUNITY SEVERICE 社区服务 三 级医院在推进社区卫生服务中的 作用和模式 ■ 陈 航① 侯生才① 王 辉② 黄爱萍① 黄维佳① 白莎琳① 王 辰① 【关键词】三级医院社区卫生服务 社区卫生服务机构 托管 【摘 要】根据目前北京市公共卫生体系和群众就医的现状，探讨了三级医院在构建新型城市社区卫生服务体系中，如伺配合政府办事， 如伺在社区卫生服务机构中发挥作用，解决群众“看病难和看病贵”的问题。通过调研和共建，明确了三级医院在提高社区卫生服务机构医疗 水平、建立社区健康档案、加强社区健康宣传教育、改善群众的生活质量和提高防病能力、配合社区卫生服务机构初步实现“双向转诊”流程 和医院开设绿色通道、建立社区应对突发公共卫生事件有效应急救治及防控体系和使社区低保特困人群能及时得到政府关爱等方面均能充分发 挥作用，指出三级医院托管社区卫生服务机构是目前北京市社区医疗卫生服务发展的最佳模式。 Exploration and play three level hospitals in the promotion of community health services in the role／CHEN Hang，HOU Shengcai，Wang Hui，HUANG Aiping，HUANG Weijia，BAI Shalin，WANG Chen／／Chinese Hospitals．一2008；12(3)：69—72 [Key words]grade 3 hospitals，community health services，community health service institutions，trusteeship [Abstract]Based on the current public health system in Beijing’S flawed and the people of the difficulties for medical treatment on the three—tier hospitals in the city build new community health service system，how to CO—ordinate the local government offices in the community health service institutions play their role in resolving the masses ”medical care and your doctor．”Through research and work to dear the three hospitalS in improving community health service agencies medical standards．the establishment of community health files，strengthening community health propaganda and education to improve the people’S quality of life and improve disease prevention capacity to meet community health service agencies initially realized ”two-way referral”processes and hospitals green channel，the establishment of communities to respond to public health emergencies effective emergency treatment and prevention and control system and the community minimal needs SHC crowd can get care．and other aspects of the government to play a full and tertiary hospital community health care services is currently in Beijing to resolve the development of community health services in the best imperfect mode1．