我国社区卫生服务发展的现状_问题和对策_刘钧.pdf

2007 8 我国社区卫生服务发展的现状问题和对策 The Status, Problems and Countermeasures of the Development of Chinas Community Health Services 刘 钧 相 琼 LIU Jun IANG Qiong ( 100081) [ ] 完善社区卫生服务是解决我国医疗卫生体制看病难看病贵的重要举措, 是完善基 医疗 保险制度改革的关键然而, 当前我国社区卫生服务却存在着服务功能缺失同基 医疗保险结合程度 低配套措施不完善政府资金投入不足等问题对此, 需要政府及有关部门出台政策积极扶持, 解决 制约社区卫生服务的瓶颈问题, 促进社区卫生服务的发展 Abstract : T he improvement of community health service is an important measure to solve the problem of difficult and expensive to treat an illness, and is the key to improve the basicmedical insurance system. However, there are lots of problems in it, such as the lack of the function of medical service, the low lever of combined with the basicmedical insurance, the imperfectness of supporting measures, the deficiency of capital investment of government. For this reason, the governments and relevant departments should for- mulate policies, actively support the community health service and solvethebottleneck problem of commu- nity health services to promote the community health services. [] 社区卫生服务 社区医疗机构 基 医疗保险制度 Key words: Community health service Community health care Basic medical insurance system [ ] F81245 [ ] A [ ] 1000- 1549 ( 2007) 08- 0021- 05 1985 , , , , , 20 50 , , , , , , , , 20 70 , , , , , , , , , : 2007- 5- 8 : ( 1968 ) , , , , : ; ( 1984 ) , , , 21 2007 8 , 20 80 , , , , 2005 , [ 1] 80% , , , , , , , , , , , , , , , , 1999 7 , 10 , 2005 , , 2003 1, 21 , , , , , 2003, 2005 , 100 , 20% 2005 , () , , , , , , 2006,