基于区域整合的村级卫生资源配置模式探讨  

Research on the mode of rural village-level health resource allocation under the concept of regional integration

作　　者：易宽 韩丹 高红霞[1] 陈迎春 常静肼 王栋 徐欣 Yi Kuan;Han Dan;Gao Hongxia;Chen Yingchun;Chang Jingjing;Wang Dong;Xu Xin(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Research Center for Rural Health Service,Hubei Province Key Research Institute of Humanities and Social Sciences,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030 [2]湖北省人文社科重点研究基地农村健康服务研究中心,武汉430030

出　　处：《中华医院管理杂志》2021年第11期903-906,共4页Chinese Journal of Hospital Administration

基　　金：教育部人文社会科学研究项目(21YJA630017)。

摘　　要：随着新型城镇化和乡村振兴战略等改革的深入推进,农村村落特征与资源结构发生了巨大变化,需要改革传统的以行政区划分为基础的村级卫生资源配置模式以实现配置公平和效率提高,更好地满足农村基层的卫生服务需求。作者在梳理当前村级卫生机构与人力资源配置现状的基础上,基于区域整合理念,根据地理、人口、健康需求及信息技术等关键要素,提出乡-村协同、村域整合、村级组织协助3种区域整合理念下的村级卫生资源配置模式及其选择策略,以期为更好维护和促进农村居民健康提供新的思路。The in-depth advancement of the new era reforms such as new urbanization and rural revitalization strategies has transformed the characteristics and resource structure of rural villages.The traditional village health resources allocation models based on administrative divisions needed to evolve and achieve fair allocation and higher efficiency,and better meet the needs of rural primary health services.The authors sorted out the current status of village health resources allocation models.Based on such concepts as regional integration,and such key elements as demographics,population,health needs and information technology,the authors proposed the village-level health resources allocation model and selection strategy,under the three regional integration theories of township-village integration,village-area integration,and village leadership assistance.Their efforts aim at providing new perspectives for better protection and promotion of health of rural residents.

关 键 词：乡村卫生服务 卫生资源配置 卫生人力 区域整合 

分 类 号：R197.62[医药卫生—卫生事业管理]