广东省基本公共卫生服务项目实施现状、问题及对策  

Current situation,problems and countermeasures on implementation of essential public health service program in Guangdong

作　　者：郝爱华 王晔[2] 许淼杰 杨瑶 罗焕金[2] 徐宁[2] 马文军 邓惠鸿[2] 

机构地区：[1]广东省公共卫生研究院,广东广州511430 [2]广东省疾病预防控制中心

出　　处：《中国公共卫生管理》2017年第6期750-756,共7页Chinese Journal of Public Health Management

摘　　要：国家基本公共卫生服务项目实施七年多来,广东省数量指标不达标,质量指标不过关,整体工作极其不均衡。文章总结其原因,归纳出认识不足、财政保障不到位、收支两条线、绩效工资核定标准低且封顶、居民社保医疗费用结算方式不合理、人员不足、基本药物配送的限制等重要的瓶颈因素。提出对策,继续深化基层医疗卫生机构综合改革,坚持目标导向和问题导向,强化整体性、系统性和协同性,深入研究制定综合改革方案,在区域政策上有所突破,以确保各项任务落到实处。The essential public health service program has been implemented for more than seven years in China,while its implementation in Guangdong province still didn’t reach the standards in terms of both quality indicators and quantity indicators and the overall level of implementation was extremely imbalanced in the province. The most important factors obstructing the implementation including the lack of awareness and attention,insufficient financial support,separation between revenue and expenditure,low standard and capping for performance pay,unreasonable healthcare insurance coverage,lack of personnel,and restrictions in essential medicine delivery were concluded in the paper. Some countermeasures were presented to deepen unceasingly the comprehensive reform of primary healthcare institutions which should be goal-oriented and problemoriented and emphasize on being holistic,systematic and collaborative. It is necessary to develop a comprehensive reform plan based on in-depth research and make a breakthrough in regional policies to ensure that all the tasks can be implemented effectively and thoroughly.

关 键 词：基本公共卫生服务 现状 问题 对策 

分 类 号：R192[医药卫生—卫生事业管理] R197[医药卫生—公共卫生与预防医学]