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我国基层卫生服务体系制度建设研究
引用本文:杜仕林,赖长宏.我国基层卫生服务体系制度建设研究[J].重庆商学院学报,2009,19(5):55-60.
作者姓名:杜仕林  赖长宏
作者单位:杜仕林(南方医科大学人文学院,广东广州,510515);赖长宏(重庆工商大学法学院,重庆,400067) 
基金项目:国家社科基金项目(07BFX054)"完善城镇职工基本医疗保险制度研究" 
摘    要:基层卫生服务体系能够保障卫生服务提供公平,也体现了基层化原则,在卫生服务递送体系中非常重要。当前,我国卫生服务递送体系是“高端集中”,城市社区卫生服务体系在社区卫生服务补偿、人力资源建设、双向转诊等方面都存在制度缺陷;而农村基层卫生服务体系缺乏有效的成本补偿机制和纵向合作的制度,乡镇卫生院的功能定位也不合理。应建立农村社区卫生服务制度和全科医生制度,重构基层卫生服务体系补偿制度和双向转诊制度。

关 键 词:基层卫生服务体系  基层化原则  农村社区卫生服务制度  卫生服务体系补偿制度  全科医生  双向转诊

Research into Institutional Construction of China' s Basic Level Public Health System
DU Shi-lin,LAI Chang-hong.Research into Institutional Construction of China'' s Basic Level Public Health System[J].Journal of Chongqing Institute of Commerce,2009,19(5):55-60.
Authors:DU Shi-lin  LAI Chang-hong
Institution:DU Shi-lin1,LAI Chang-hong2(1.School of Humanities,South Medical University,Guangdong Guangzhou 510515,2.School of Law,Chongqing Technology , Business University,Chongqing 400067,China)
Abstract:Medical service system in basic level should provide basic medical service,guarantee fair opportunities to secure medical service,and reveal the principle of basic level,which seems very important in medical service system.Currently,China's public health delivery system is highly centralized,urban public health systems have defects in the aspects of community health service compensation,human resources construction,doubleaction transfer treatment and so on.However,rural basic level public health system is s...
Keywords:basic level medical service system  the principle of basic levels  rural community health service system  health service system compensation system  general practitioner  doubleaction transfer treatment  
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