社区首诊的利益相关者分析

Analysis of First-treatment in the Community Based on Stakeholder Theory

社区首诊的顺利推行需要众多相关主体配合。从利益相关者的角度预测社区首诊的各利益主体在社区首诊制度推行中的收益,发现推行社区首诊的阻碍因素主要是:居民的首诊意愿不强、社区卫生服务机构的提供能力和动力不足、医保的政策引导不够和卫生管理部门的资源整合能力有限。建议强化政府的资源整合功能,激励居民社区首诊,提高社区卫生机构的服务提供能力。

It needs cooperation of many related subjects to implement first - treatment in the community . This paper analyses stakeholders and their benefits from the point of view on the stakeholder theory, and draw a conclusion that the main cause of first - treatment in the community mainly includes four aspects , that is the residents＇weak will to first - treatment in the community, the poor service delivery capacity and motivation of community health organizations, limited health insurance policies and health authorities＇limited ability to integrate resources. Finally, We pro- pose corresponding countermeasures such as strengthen functions of the government, reinforce incentives for patients and enhance the capacity of community health service institutions and so on.