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                                                  南京医科大学学报（社会科学版）京医科大学学报（社会科学版）                  第4期 总第111期
             · 356  ·                       Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences）  2022年8月
                                            Journal
                  7/art_38248_2419928.html                          9a7ca4f31392b2b79.shtml
             ［10］ 关于推进家庭医生签约服务的指导意见（国医改办发                      ［12］ 储亚萍. 发达国家政府购买社区公共卫生服务的可借
                 〔2016〕1 号）［R/OL］.［2022-04-13］. http：//www.nhc.     鉴之处［J］. 理论探索，2012（6）：121-125
                  gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=e3e7  ［13］ 张明吉，王伟，严非. 英美两国卫生改革的比较与启示
                  d2670a8b4163b1fe8e409c7887af                     ［J］. 中国卫生资源，2014，17（2）：138-141
             ［11］ 关于政协十三届全国委员会第四次会议第4022号（医                    ［14］ 郭希同. 市场主义与契约主义：新西兰政府购买公共服

                  疗体育类432号）提案答复的函［R/OL］.［2022-07-13］.               务研究［D］. 武汉：华中师范大学，2017
                  http：//www.nhc.gov.cn/wjw/tia/202201/f0837d556be24d2                       （本文编辑：姜 鑫）







                Problems and countermeasures of Chinese government purchasing

                                       community public health services


                                         ——Based on the pilot practice of typical cities
                                                             1
                                                SUN Mengmeng ，YANG Hong   2
                              1. School of Public Administration and Humanities and Arts，2. School of Marxism，
                                           Dalian Maritime University，Dalian 116026，China
                 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 this three⁃stage pilot practice，some progress has been achieved，but there are still some problems，
             such as insufficient number of medical staff， lack of service institutions， 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.
                 Key words：community public health services；government purchase；graded diagnosis and treatment
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