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南京市社区医院建设试点工作成效研究 被引量:4

Study on the Effectiveness of Community Hospital Construction Pilot Work in Nanjing City
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摘要 目的通过深入现场调研,从社区医院资源配置、服务量与效率、收支情况和家庭医生制度建设等4个方面考察南京市某社区医院建设试点工作成效,为全面推进社区医院建设工作、提升基层医疗机构服务能力提供策略建议。方法运用访谈法和比较分析法研究南京市某社区医院建设试点前后工作成效,分析社区医院建设过程中存在的突出问题。结果社区医院医疗服务能力、效率仍有提升空间,社区医院发展依赖财政;分级诊疗制度仍需进一步完善、落实。结论保持社区医院发展的可持续性,注重人力资源积累,完善全科医生为守门人的分级诊疗制度。 Objective Through in-depth field investigation,the results of a community hospital construction pilot work in Nanjing were investigated from aspects of community hospital resource allocation,service volume and efficiency,income and expenditure,and family doctor system construction,to provide strategic suggestions for comprehensively promoting the construction of community hospitals. Methods Interview method and comparative analysis method were used to study the work results of a community hospital in Nanjing before and after the pilot construction,and to analyze the outstanding problems in the process of community hospital construction. Results There is still room for improvement in the medical service capacity and efficiency of community hospitals. The development of community hospitals depends on finance;The hierarchical diagnosis system still needs to be further improved and implemented. Conclusion It is needed to maintain the sustainability of the development of community hospitals;pay attention to the accumulation of human resources;improve the hierarchical medical system in which general practitioners are gatekeepers.
作者 许兴龙 刘佳杰 周绿林 詹祥 XU Xinglong;LIU Jia-jie;ZHOU lu-lin(School of Management,Jiangsu University,Zhenjiang,Jiangsu,212013,China;不详)
出处 《中国医院管理》 北大核心 2021年第10期7-10,共4页 Chinese Hospital Management
基金 国家自然科学基金项目(71904066) 江苏省社会科学基金项目(20SHD002) 江苏高校哲学社会科学一般项目(2019SJA1884)。
关键词 社区医院 试点 工作成效 community hospital pilot work performance
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