北京市社区卫生服务运行机制改革状况定性评价研究

The Qualitative Evaluation for the Reform for the Operational Mechanism of the Community Health Services

目的:了解北京市社区卫生服务运行机制改革状况,探索改进城市社区卫生服务发展的模式与运行机制。方法:采用第三方评估的方式,通过立意抽样的方法,对北京市社区卫生服务机构开展了定性研究。结果:所采取的系列改革措施正在逐步推进。北京市所辖18区(县)政府举办社区卫生服务机构全部实施了收支两条线管理;共有1.2万余人次医务人员下社区,已有610名专家到社区工作;93家二级以上医院支援社区卫生服务,建立了双向转诊制度;所调研的7个区县已基本完成社区卫生服务机构的标准化建设。结论:北京城市社区卫生服务运行机制改革状况总体良好,社区卫生服务机构健康地运行与发展,社区居民对社区卫生服务的满意度提高。但在人才培养方面,还应继续探索适应社区卫生服务发展的培养模式。

Objective： To know the status of the operational mechanism reform for the community health service （CHS） in Beijing and to search for the suitable management mode of the CHS. Methods： Used the ＇qualitative evaluation by the third party, to study the chosen community health service units. Results： All the reform measures were pushed forward step by step and some impacts have occurred due to such policies. Conclusion： The community health service system in Beijing after the reform is running well in the whole, and the satisfaction of the citizens is growing higher than before. However, in terms of the cultivation mode for the human resource, more attention should be paid so as to find a cultivation mode suitable for the CHS system.