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改革卫生服务体系,是党和政府做出的一项重要决策,是实施基本医疗卫生服务的组织基础,是落实人人享有卫生保健的基本途径。城市社区卫生服务网络是以一级医院为主体,二、三级医院和预防保健机构为指导,以城市街道、居委会为基础建立起来的服务网络。本文在深化医药改革精神,结合社区卫生服务机构管理实践,总结社区卫生改革中存在的问题,紧密结合基层卫生改革经验以及困惑,并提出建设性的解决方案,探索改革对策。
Reforming the health service system is an important decision made by the party and the government. It is the organizational foundation for the implementation of basic medical and health services and the basic way for implementing health care for all. Urban community health service network is a hospital as the main body, second and third level hospitals and preventive health care institutions as a guide to the city streets, neighborhood committees to establish a service network. In the spirit of deepening the reform of the medical industry, combined with the management practices of community health service agencies, this paper summarizes the existing problems in the community health reform, closely integrates the experience and puzzledom of grassroots health reform, and puts forward constructive solutions to explore the reform measures.