我国社区卫生机构功能定位转变的效果评估研究

Evaluation on the Function Transformation of the Community Health Centers in China

为实现"人人享有基本医疗卫生服务"的目标,我国医药卫生体制改革将社区卫生服务机构的功能定位为公益性机构。本文通过医改前后社区卫生服务机构的运行与服务提供状况的比较对其功能转变效果进行了评估,结果发现医改政策对社区卫生机构的运行起到了一定的影响,但主要体现在基本公共卫生服务的免费提供方面,对于其提供的医疗服务行为的影响不大。社区卫生机构功能的完全转变尚需同其补偿机制改革、医务人员收入分配机制改革和全科医生的系统培养等配套改革同步进行。

In order to achieve the goal of ＂universal access to basic health services for all of the people＂, the function of the community health centers has been defined as the nonprofit organization by the policy of medical and health system reform. Through the comparison on the operations and services of the community health centers before and after the reforms,we found that the health reform policy has positively influenced on the supply of the free public health services ,but it has not influenced on the operations of the medical service of the community health centers. To realize the complete function transformation of the community ,health centers still need to implement complementary policy reforms of the agency compensation mechanism, personnel income distribution mechanism, and the general practitioner system.