后疫情时期农村基层健康服务能力提升的典型案例及启示  

Typical Cases and Enlightenment of the Improvement of Rural Grassroots Health Service Ability in the Post-epidemic Period

作　　者：谈玉平 黄二丹 江蒙喜 陆增辉 农圣 TAN Yu-ping;HUANG Er-dan;JIANG Meng-xi;LU Zeng-hui;NONG Sheng(Second Affiliated Hospital of Guangxi Medical University,Nanning Guangxi 530007,China;不详)

机构地区：[1]广西医科大学第二附属医院,广西南宁530007 [2]国家卫生健康委卫生发展研究中心,北京100029 [3]右江民族医学院附属医院,广西百色533000

出　　处：《卫生经济研究》2021年第7期48-50,共3页

基　　金：2015年度国家自然科学基金(71563056)。

摘　　要：目的:通过典型案例分析,为有效提升农村基层健康服务能力提供政策启示。方法:选择增城、天长、罗湖三个县(区)作为典型案例,介绍改革做法和实际成效。结果:“增城模式”适用于地方财政充裕而绩效考核较精细的地区,“天长模式”适用于医保配合度较高且基金穿底压力较大的地区;“罗湖模式”适用于人口稠密、人员流动性高而市场竞争压力较大的地区。结论:农村基层健康服务能力的提升应因地制宜,符合经济学和制度变迁的基本规律,而医保驱动和医疗协同改革是农村基层服务能力提升的动力机制。Objective To provide policy implications for effectively improving rural grassroots health services ability through the analysis of typical cases.Methods Selects three counties(districts)of Zengcheng,Tianchang and Luohu as typical cases to introduces the reform practice and actual effect.Results"Zengcheng model"is suitable for areas with abundant local finance and fine performance appraisal,"Tianchang model"is suitable for areas with high matching degree of medical insurance and high pressure of fund deficit,and"Luohu model"is suitable for areas with dense population,high personnel mobility and high market competition pressure.Conclusion The promotion of rural grassroots health services ability should adapt to local conditions and be in line with the basic laws of economic and institutional changes,and medical insurance driven and medical collaborative reform are the dynamic mechanism for improving rural grassroots health services ability.

关 键 词：后疫情时期 农村基层医疗机构 健康服务能力 

分 类 号：R19[医药卫生—卫生事业管理]