社区卫生委员会——公众参与基层卫生服务管理机制探讨

Community health committee： A mechanism innovation of public participation in grassroots health service management

社区卫生委员会作为基层卫生服务管理的一种公众参与机制，通过建立自下而上的卫生社情民意沟通渠道和社区卫生监督体系，让社区居民（村民）参与基层卫生的决策和管理，改变自上而下的传统卫生管理模式，改善基层医疗服务，提高政府的治理能力。文章介绍了浙江GTF项目县社区卫生委员会运作情况，分析了这项试点的初步成效和创新经验，探索了社区居民参与基层卫生服务管理的新机制和新模式。

Community Health Committee （CHC）, an innovative public participation mechanism of grassroots health service management, established a bottom-up communication channel between the public and government to communicate health related problems and opinions, and set up a grassroots community health services supervision system. The rural residents were endowed with opportunities to take part in grassroots health care decision making and management by CHC. CHC changed the topdown model of traditional health management, improved the grassroots medical services, and increased governance capability of local government. We introduced the CHC practice in Zhejiang project counties, exhibited the primary effects and experience of this pilot program, and explored new mechanism and model for rural community residents to participate in grassroots health service management.