社区康复与基本公共卫生服务协同发展对策的思考  

Consideration on Strategies for Harmonious Growth of Community Rehabilitation and Primary Health Care

作　　者：林奕芳 贾杰 LIN Yifang;JIA Jie(Department of Rehabilitation Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China;Community Rehabilitation Working Committee of Chinese Rehabilitation Medical Association,Beijing 100101,China)

机构地区：[1]复旦大学附属华山医院康复医学科,上海市200040 [2]中国康复医学会社区康复工作委员会,北京市100101

出　　处：《中国全科医学》2025年第8期905-910,共6页Chinese General Practice

基　　金：国家重点研发计划项目(2018YFC2002300);国家自然科学基金资助项目(82021002);上海市加强公共卫生体系建设三年行动计划重点学科建设项目(GWVI-11.1-27)。

摘　　要：社区康复与基本公共卫生服务有着许多共通之处。基层医疗卫生机构在为辖区居民做好基本公共卫生服务的同时,若能将康复服务精准对接至有需求的人群,减轻其功能障碍程度,提升其生活质量,实现“康复在基层”的功能定位,将具有重要意义。本文聚焦社区康复与基本公共卫生服务协同发展的对策思考,提出基层机构在服务提供上可推进个体健康管理与临床康复无缝衔接,在服务协作上可建立全科医生模式下的社区康复、组建“康复-公卫”联盟、制订个性化家医签约服务包等协作机制,在服务筹资上可充分探讨现有筹资来源的整合支付,以期为基层机构康复职能的拓展提供参考,助力实现全人群健康水平持续提升、国民医疗经济负担持续降低的长远目标。Community rehabilitation has much in common with primary health care.While providing primary health care for key groups,primary health care institutions will be of great significance if they can accurately provide rehabilitation services to people in need,reduce their degree of dysfunction,improve their quality of life,and realize the functional positioning of"rehabilitation at the grassroots level".This paper focuses on the coordinated development of community rehabilitation and primary health care,proposes several strategies in service delivery,service cooperation,and service financing,in order to provide references for the expansion of rehabilitation capabilities in primary health care institutions,and hopes to contribute to higher general public health standards and reduced medical expenditures.

关 键 词：康复 社区康复 基本公共卫生服务 协同发展 对策建议 

分 类 号：R49[医药卫生—康复医学]