新医改情境下乡镇“医防分设”模式的政策去向探讨  

On policy direction for 'separation of medical and prevention institutions' model in the new round of health reform

作　　者：韩建华[1] 王志锋[1] 

机构地区：[1]北京大学公共卫生学院,北京100083

出　　处：《江苏卫生保健（学术版）》2010年第3期1-3,共3页Jiangsu Health Care

摘　　要：在新医改情境下,乡镇卫生机构"医防分设"模式与政府"重点在每个乡镇办好一所卫生院"的基本制度设计的体制冲突,再次引起对其政策去向的思考。"医防分设"模式运行后,农村三级服务网络结构和相关领域功能都发生了变化,并使卫生体制形成一些明显的特征。其与新医改精神的对接,可有不同的政策方案组合。以现存体制特征和政策优势为起点,从理论层面理解"政府办好一所卫生院"的理由,并考虑众多的影响因素,可能更有助于定性推导"医防分设"模式政策终止、调整或延续的政策去向。Conflict between the model of ＇ separate setup of township medical and prevention institutions＂ and the idea that the government should run one township health service centre in each township gives rise to discussion on the policy direction for the model in the new round of health reform. Changes in three - tier rural health service network have been happened and the health system has gained some new features since running of the model. Different plans can be devi^ed to meet the idea of the whole country system design. Considering the current system features and gained policy advantages, understanding the true reason of government＇ s running one health service center in each township, and having other related factors in mind may be contributive to decision - making on the policy direction for the model.

关 键 词：新医改 医防分设 公共卫生 政策去向 

分 类 号：R193[医药卫生—卫生事业管理]