农村三级卫生服务网络的服务连续性探讨

A reflection on the continuity of the three-tier healthcare network in rural China

分析了农村卫生服务提供系统存在的问题以及导致农村三级医疗卫生服务网络异常运行的根源，从学科间的连续、机构层面的连续、人际层面的连续及信息层面的连续4个方面，提出重塑农村三级医疗卫生服务网络中各机构关联、构建合理的网络机构管理所需的适宜支撑环境以及提供系统的安全、有效、方便及价廉的质量观等政策建议。

Through the analysis of the problems of health service delivery system in rural areas and the causes of the abnormal operation of the three-tier rural health service network, this article probed into the continuity of health service in rural China. These issues are observed from the aspects of continuity of disciplines, institutions, relationship and health information. Policy recommendations include remolding the institutional relations in the three-tier rural health service network, constructing reasonable supporting environment and improving the health delivery quality.