推进浦东新区卫生服务城乡发展一体化的思考

Reflect on the Health Integration Development of Urban and Rural Region in Pudong New Area

目的了解浦东新区卫生城乡一体化现状,总结问题并提出对策。方法通过对浦东新区城乡一体化卫生计生相关领域的专题调研,广泛搜集材料、深入调查研究、多轮征求意见。结果浦东新区已在机构布局、社区卫生管理、新农合保障、信息化建设、人力资源配置及中医药服务等6个卫生服务城乡统筹方面取得了一定成绩,但仍面临医疗机构总量不足、分布不均,人才区域结构不合理,政府卫生投入比例低等问题。结论需要围绕统筹医疗卫生机构布局、农村卫生人才队伍建设、绩效工资良性增长动态机制和基本医疗保障制度一体化四个方面助力浦东卫生服务城乡一体化。

OBJIECTIVE To understand the current situation, conclude problems and put forward solutions of the health integration de- velopment of urban and rural region in Pudong New Area. METHODS To conduct special survey, collect information and several round suggestions to deep in investigation. RESLUTS Pudong had already made progress on six aspects of the health intergration de- velopment of urban and rural region, such as institutions distribution, community health management, new rural health insurance, in- formationization construction, human resources allocation and TCM services. However, there still remains problems such as insuffi- cient and uneven distribution of health institutions, unreasonable talents structure and low government input. CONCLUSIONS It needs to plan the distribution of health institutions as a whole, enhance the rural talents construction, build up the benign growing mechanism of performance pay and improve basic health security to perpetual the progress of health integration development.