摘要
在我国新一轮医药卫生体制改革逐步深入的背景下,完善基层医疗卫生服务体系,持续提升基层医疗卫生服务能力与质量具有重要意义。本研究在增权赋能理论指导下,系统总结相关研究文献,结果表明通过加强基层就医引导、注重基层卫生健康人才维护、调整卫生资源配置机制、完善服务质量评价制度等措施来实现充分增权赋能,有利于建立综合全面、连续协调、公平可及的整合型高质量基层医疗卫生服务体系。本研究进一步提出基层医疗卫生服务质量持续改进与提高的策略,旨在为破解基层医疗卫生服务质量能力提升的结构性难题提供参考资料与依据。
In the context of the new round of medical and health system reform in China,it is of great significance to improve primary healthcare service system and continuously improve the capacity and quality of primary healthcare service.Under the guidance of empowerment theory,this study systematically summarizes relevant research literature,and the results indicated that full empowerment can be achieved through strengthening the guidance for primary health care,focusing on the maintenance of primary healthcare talents,adjusting the allocation mechanism of health resources,and improving the service quality evaluation system,which is conducive to the establishment of a comprehensive,continuously coordinated,fair and accessible integrated high-quality primary healthcare service system.This study further proposes strategies for continuous improvement and enhancement of primary healthcare service quality,aiming to provide reference and basis for solving the structural difficulties in improving the quality and capacity of primary healthcare services.
作者
曹成霖
曹文文
孟飞跃
胡志
白忠良
CAO Chenglin;CAO Wenwen;MENG Feiyue;HU Zhi;BAI Zhongliang(Key Laboratory of Public Health Social Governance,Philosophy and Social Sciences of Anhui Province,Hefei 230032,China;School of Health Services Management,Anhui Medical University,Hefei 230032,China;Shanghai Medical Organization Joint Management and Development Center/Shanghai Hospital Association,Shanghai 200040,China)
出处
《中国全科医学》
北大核心
2024年第1期9-14,26,共7页
Chinese General Practice
基金
公共健康社会治理安徽省哲学社会科学重点实验室开放课题项目(PHG202309)
安徽医科大学卫生政策研究中心开放课(2022wszc19)。
关键词
基层医疗卫生服务
质量改进
增权赋能
现实困境
实现路径
Primary health service
Quality improvement
Empowerment
Realistic dilemma
Implementation path
作者简介
曹成霖:https://orcid.org/0009-0002-4715-8123;曹文文:https://orcid.org/0000-0002-1554-3847;孟飞跃:https://orcid.org/0009-0002-2252-924X;胡志:https://orcid.org/0000-0001-5454-0422;通信作者:白忠良,副教授,E-mail:baizhongliang@ahmu.edu.cn,https://orcid.org/0000-0003-0097-3622。
