我国社区卫生服务中心专科服务开展现状及发展策略

Implementation Status and Development Strategies of Specialty Services in Community Health Centers in China

开展专科服务是提升社区卫生服务中心医疗服务能力、促进分级诊疗制度建设的重要举措。本文利用《2018中国卫生健康统计年鉴》数据,分析我国社区卫生服务中心开展专科服务现状。数据显示,社区卫生服务中心的科室设置以全科医学科为主,中医科发展较快,康复医学科具有发展前景,儿科等其他专科发展滞后。随着分级诊疗制度的推进,社区卫生服务中心开展专科服务在提升医疗服务能力、增加医疗收入、促进医务人员职业发展、提高居民满意度等方面发挥重要作用,但是在基础设施配置、专科人才培养、用药及相关政策等方面面临困境。因而,社区卫生服务中心开展专科服务不同于综合医院,应从做好区域卫生规划,加强专科人才培养,完善投入、激励、医保、价格、药品政策环境等方面促进其发展。

Delivering specialty services is an important measure for improving the service capabilities of community health centers(CHCs) and for promoting the development of hierarchical medical system.We analyzed the status of specialty services delivered in CHCs in China by using data from China Health Statistics Yearbook 2018,and the results were summarized as follows:in CHCs,top priority is given to general practice department development,TCM department develops rapidly,rehabilitation department is promising,but pediatrics and other specialty departments lag behind.Along with the promotion of hierarchical medical system development,specialty services delivered by CHCs have been characterized to show crucial roles in improving healthcare service capabilities and revenues,promoting occupational development of healthcare providers,and enhancing residents’ satisfaction with healthcare services.However,CHCs also face challenges in delivering specialty services,such as insufficient equipment allocation,specialists training,and drug use guidance,as well as lack of related supportive policies.The development of specialty services in CHCs is different from that of general hospitals,which should be promoted by developing and implementing a sound regional health plan,strengthening specialists training,increasing investment,reinforcing the implementation of incentives and medical insurance programs,improving healthcare prices,drug policies and medical environment.