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改革开放以来,国民经济保持了持续、稳定、高速的发展,为卫生事业发展带来了良好的机遇。医疗卫生服务如何适应市场经济发展、满足人民群众日益增长的卫生服务需求,如何优化配置卫生资源,明确各级医院、特别是一级医院的定位,发挥其内在的优势、挖掘其潜力,是卫生改革的重点。我们就此进行了探讨。1 开展社区健康服务,完善一级医院功能 社区健康服务组织是卫生服务体系的基础,开展社区健康服务意义在于:1.1 优化配置卫生资源,有效控制卫生费用 有效地控制卫生费用在于合理地配置卫生资源,合理配置卫生资源的前提就是合理分流服务对象,开展社区健康服务为合理分流服务对象提供了基础条件。社区健康服务的提出依据:一是群体中约80%的基本医疗问题完全可以在一
Since the reform and opening up, the national economy has maintained a sustained, stable, and high-speed development, bringing good opportunities for the development of the health industry. How medical and health services adapt to the development of the market economy, meet the growing demand for health services of the people, how to optimize the allocation of health resources, and clarify the positioning of hospitals at all levels, especially the first-tier hospitals, and give full play to their inherent advantages and tap their potential. The focus of the reform. We have discussed this. 1 Develop community health services and improve first-class hospital functions Community health service organizations are the foundation of the health service system. The significance of community health services is: 1.1 Optimizing the allocation of health resources and effectively controlling health costs Effectively controlling health costs lies in rational allocation of health resources. The premise of rational allocation of health resources is to rationally divert the service targets, and to carry out community health services to provide basic conditions for rational diversion of service targets. The basis for community health services: First, about 80% of the basic medical problems in a group can be completely