·论小营街道社区卫生服务机制改革探索

(,310009)XiaoyingDistrictCommunityhealthservicereformtoexploremechanismsWeiminLiAbstractObjectiveToexplorethenewcommunityhealthservicemanagementmodel.MethodsByunderstandingandanalysisofXiaoyingDistrictoperationsofcommunityhealthservicereformandpractice.Summaryandevaluationofcommunityhealthservicesresults.ResultsThecommunityhealthservices,archivingrate,therateofchronicdiseasemanagementandhealthseminarstofurtherstrengthenpublichealthservices,thesatisfactionrateofresidents,awareness,utilization,improvedrecognition.Increasingtheincomeofworkers,arousedtheenthusiasmwascompletelyout.Outpatientvisits,totalrevenue,thecollectiveassetsandbalanceofpaymentssurplusofsustainedandstablegrowth,inparticular,therewereanumberofindicatorsin2008increase100percent.Consumptionwas88.12%ofhundreddollars.ConclusionFulldescriptionofthemainreformofthemedicalsystemshouldbehealthcareworkers;inspireemployeesandmanagersisapositivebasisforreform;showmoneyistheonlyelementofmanagement;improvetheriskofmortgage-styleperformancemanagementreformprogramwillbemorethanseparatingrevenuefromexpendituresmoreadvantages.Keywordscommunityhealthservice;managementmechanism;analysis;explorationXiaoyingDistrictCommunityHealthServiceCenter,Hangzhou310009,ChinaCorrespondenceto:WeiminLi,Email:[e-mail]:,,,2008100%88.12%;;;:;;;,,,,,,,,,,,,(;;;),,,,,,1,,,,,,,,1Vol8No3March2010ChineseJournalofCurrentHospitalAdministration,,;;22.1,95%,5000,1.8,:72.11%,74.68%[1](),30.37%,,,,,,,2.22.2.1,,,;;,:,,,,,,,:6%,36.9%(78.3%)(2009430),,264,52,19.7%[2],,,64,,2.2.2,,,2.2.3,33.113,1534m2,,(25),,145,99,22,15,8,,57,12,3.1,1/7,1/3,8.8,10602,,,,15min,2ChineseJournalofCurrentHospitalAdministrationVol8No3March20103.23.2.1,,,,,,,,,,,,,,,,,,,2002,(),,,,,:;;;,,,,3.2.2,(),,,,:,,,;,20%40%;,,,,,,,,,,,3.2.3,90%,,,,,,,,,,,,,,3.2.4,,,()[3],,,,,,,[4],,:10(8)12,;;;(,,);;3Vol8No3March2010ChineseJournalofCurrentHospitalAdministration;,,,,,,6,,,,,6:30,3.2.5360360,,,,,,,,[5],,,,,,,,3.2.6,,,,2006,,,:(1);(2)(),,;(3);(4),;(5);(6)3.3,,,,,[6],,:3.3.11120032008()()200313‚.1121Þ.92200413‚.3104Þ.18200516‚.5116Þ.19200622‚.3136Þ.21200730‚.7109Þ.17200862‚.5109Þ.856,2008,,,,3.3.22220032008()()(%)(%)20031873b.991O78þ.088Õ.6020041689N.1695O74þ.4711é.9120052347N.73102c82þ.5910é.6620063175N.30132c86þ.5311é.6120073544N.32130c86þ.4314é.6820086566N.03145c77þ.4224é.902,,2008,45.28,,,2007,,4ChineseJournalofCurrentHospitalAdministrationVol8No3March2010,2200824.90%3.3.3:20062008()3576571457,20062008()100.49574.651143.88,2006200896.81%90.01%88.72%,,,3.3.4,,,,20023,20088,5,2005,200100,8,1015min,100%,82.3%,90%,83%,,96.3%(),3.3.5200620083.344.976.2,5.016.258.2,2008,88.5%,,84.6%,,,,,,,80.8%,(),5%,,,,84.6%,,3.3.6:,100%;,77.2%,,,,;,82.8%,;,86.7%,:,;,82.2%;,74.4%,;,81.7%,;,61.7%,;,82.2%44.14.1.1:,,20082007,,,,::200667.7%,200882.3%;:200647.5%,200858.8%;:200642%,200883%;:200696,2008113:,15min,98%5Vol8No3March2010ChineseJournalofCurrentHospitalAdministration,,,,,4.1.2145,,624958,6566,45,,,4.1.3,,,,,,,,,,,465,,,,,,,,,,,,,,,,,,;,;,,;,,,,,,,,,,,,,[6],,,4.24.2.1,,,,,,,4.2.2,,,,,,,4.2.3,,,,6ChineseJournalofCurrentHospitalAdministrationVol8No3March2010,,,,,,,,,,,,,:[7],,,,,,,,,1.28.2008,2008:18-20.2.:.-,2009430B02.3..:,2002:92-96.4..:,2004:208-218.5..:,2003:202-220.6..,2009-1:7-23.7..2009,2009-6:11-12.7Vol8No3March2010ChineseJournalofCurrentHospitalAdministration