摘要
通过对上海市某一城区和某一郊区全部25家社区卫生服务中心的问卷调查,分析比较上海市城郊社区卫生服务费用及居民健康状况。结果显示:上海市城郊社区卫生服务中心次均费用基本呈下降趋势,居民健康状况不断改善。最后,对上海市社区卫生服务改革提出了三点建议:一是坚持以健康为中心的原则;二是完善以保障健康为主体的体制机制;三是构建以"54321"为主要内容的基本健康保障模式。
We investigated 25 community health service centers which were selected of Shanghai. The cost and health of residents were compared between urban and suburb that the cost per visit reduced and the health of residents improved in suburb community proposed that the community health service reform should focus on health of residents, and build ＂54321＂ basic health insurance model. from an urban and suburb areas. The results showed health service centers. We improve health insurance,
基金
国家自然基金项目"基于患者信任的医疗服务质量改进研究(70973078)"
上海交通大学文理交叉基金"上海市家庭医疗体系构建与医保支付制度衔接研究(10JCY05)(2011-2012)"
上海市卫生局课题"上海实施家庭医生制度的研究(2010HP007)"
