上海市闸北区社区卫生服务管理体制改革研究概述  

Outline of research into the management system reform in community health services in Zhabei District of Shanghai

作　　者：王光荣 詹绍康[2] 郭怀保 刘晓云[2] 李哲 谢玲玉[2] 朱骥[2] 

机构地区：[1]上海市闸北区卫生局,200070 [2]复旦大学公共卫生学院

出　　处：《中华医院管理杂志》2005年第8期509-513,共5页Chinese Journal of Hospital Administration

摘　　要：论述了上海市闸北区社区卫生服务改革实施的背景、可行模式、改革内容及程序;对改革进行阶段性评估的内容、方法以及阶段性评估的初步结论。以管理体制改革为出发点,选择了授权管理经营的改革模式,围绕“两权分离、三权下放”的基本思路,从卫生局和社区卫生服务中心两个层面推开。专家外部阶段性评估认为实施授权管理经营改革有利于内部运行机制的创新,有利于社区卫生服务的改善,有利于经济补偿能力的增强,但同时也存在一些问题需要解决。The paper gives an account of the background, feasible model, content and procedure of the reform in community health services in Zhabei District of Shanghai and the content, method and preliminary conclusions of periodic evaluations of the reform. Taking the management system as its starting point, selecting the model of delegation management, and focusing on the basic idea of “separation of two powers and delegation of three powers”, the reform went ahead on two fronts： the health bureau and the centers for community health services. Experts making external periodic evaluations hold that the adoption of delegation management contributes to innovations in the internal operating systems, the improvement of community health services and the enhancement of economic compensation capability. However, some problems still remain to be solved.

关 键 词：社区卫生服务 管理体制 授权经营 社区卫生服务中心 上海市闸北区 改革研究 阶段性评估 卫生服务改革 内部运行机制 体制改革 

分 类 号：R197.1[医药卫生—卫生事业管理]