社区卫生服务转型健康管理的理论探讨  

Theoretical Discuss on the Transformation from Community Health Services to Health Management

作　　者：蒋天武 蔡卫平 徐钦芳[3] 王克春[4] 

机构地区：[1]杭州市长庆潮鸣街道社区卫生服务中心,杭州310003 [2]政协杭州市委员会,杭州310006 [3]杭州市卫生局,杭州310005 [4]浙江科技学院经济管理学院,杭州310023

出　　处：《中国卫生经济》2013年第12期56-58,共3页Chinese Health Economics

基　　金：浙江省社科规划课题(10CGSH01Z)

摘　　要：目的:探讨社区卫生服务的终极形态所应有的功能和根本目的。方法:从健康保障在基层的承担责任出发,确定社区卫生服务在健康保障体系中的定位和分担的功能,发挥此功能所需要的筹资渠道和形式。结果:社区卫生服务在基层承担健康保障责任,需要以服务辖区居民的健康提高为目标,对社区居民实施以社区基本医疗和公共卫生为服务内容的健康管理,其筹资渠道为单一的财政投入。结论:当前社区卫生服务的服务功能和筹资机制需要向健康管理的服务功能和筹资机制转型。Objective： To discuss on the function and basic purpose of the community health services＇ ultimate status. Methods： Base on the primary responsibility of health security, the position in the health security system and the distributed functions of community health services are defined, the financing channels and the mode are performed： Results： The community health services take the responsibility of primary health insurance, which should aim at the health improvement of residents in the service area, implement the health management with the service content of basic community medical care and public health for community residents. The finance channel is the single financial investment. Conclusion： The present service function and financing mechanism of community health services need to be transformed to the service function and financing mechanism of health management.

关 键 词：社区卫生服务 服务机制 筹资机制 健康管理 

分 类 号：R197.1[医药卫生—卫生事业管理]