我国政府购买社区公共卫生服务问题及对策 ——基于典型城市试点实践
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1.大连海事大学马克思主义学院;2.大连海事大学人文艺术与公共管理学院

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教育部人文社科规划基金项目“构建我国城镇社区现代化公共卫生治理体系研究”(项目编号:21YJA630104)


Problems and Countermeasures of Chinese government purchasing community public health services ——Based on the pilot practice of typical cities
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    摘要:

    政府购买社区公共卫生服务是指政府向有资质的公共卫生服务机构购买服务,根据提供服务的数量和质量,支付相应的费用。政府购买社区公共卫生服务是提高社区公共卫生服务水平的重要措施。我国自2002年起开始探索政府购买公共卫生服务模式,2009年将购买对象扩大到了社会办公共卫生服务机构,2016年在全国推广家庭医生制度。通过三个阶段的试点实践取得了一定成效,但仍存在着医护人员数量不足、提供服务机构缺乏、相关法律法规和监督评价机制不健全以及居民认可度不高等问题。完善政府购买社区公共卫生服务,要建立稳定的公共卫生投入机制,改善疾控基础条件,强化基层公共卫生体系,完善法律法规和监督评价机制、提高公共卫生服务能力。

    Abstract:

    The government's purchase of community public health services means that the government purchases services from qualified public health service institutions and pays corresponding fees according to the quantity and quality of services provided. The government's purchase of community public health services is an important measure to improve the level of community public health services. China began to explore the mode of government purchase of public health services since 2002. In 2009, the purchase object was expanded to social Office public health service institutions. In 2016, the family doctor system was promoted throughout the country. Through the three-stage pilot practice, some results have been achieved, but there are still some problems, such as insufficient number of medical staff, lack of service providers, imperfect relevant laws and regulations, supervision and evaluation mechanism, and low recognition of residents. To improve the government's purchase of community public health services, we should establish a stable public health investment mechanism, improve the basic conditions for disease control, strengthen the grass-roots public health system, improve laws and regulations, supervision and evaluation mechanism, and improve the ability of public health services.

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  • 收稿日期:2022-05-18
  • 最后修改日期:2022-07-18
  • 录用日期:2022-07-21
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