全民健康保障理念下的社区卫生服务新定位

New Location of Community Health Care Under For-all Health Security

我国现有社区卫生服务的定位是满足群众卫生需求,但这个定位存在偏差,是社区卫生服务发展陷入停顿的理论根源,而不仅仅将主要原因归咎于政府投入不足。以卫生需求为定位不能推动社区卫生服务全面开展卫生工作,不能实现全民享有卫生保健的目标。新的定位应该在新的健康保障模式即复合型全民健康保障下提出。在新的健康保障体系下和新定位下,社区卫生服务的功能和作用得到新的确定。通过分析社区卫生服务的转型路径,认识现阶段社区卫生服务发展的方向和方式。

It is deviation that the location of community health care is as following the demands of residents. What the community health care development fell into difficult position is caused by the location as source, not the government investment less as source. The location as following demands cannot promote the CHC to develop the health work in all aspect and cannot reach the goal of for-all health care. The new location should be presented under the compound for-all health security. The function and effect of new CHC can be determined under the new location. There are some transformation paths from today CHC to the ideal CHC, two outstanding path of those paths are chosen to compare for selection. In the end, there are some suggestions to present to government.