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谢伏瞻
    中国社会科学院学部委员,学部主席团主席,研究员,博士生导师。历任中国社会科学院院长、党组书记,国务院发展中心副主... 详情>>
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李培林
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    中国城市医疗卫生服务现状、问题与对策

    摘要

    随着我国社会经济的发展,医疗服务水平快速发展,城市基本建成“15分钟医疗卫生服务圈”,城市居民对医疗卫生服务利用次数快速增长,医疗联合体、医生集团、医养结合等新型服务模式创新不断。但是,随着城镇化和人口老龄化进程加快,疾病谱向非传染性疾病转变,埃博拉出血热等新发传染病疫情不断涌现,城市医疗卫生服务也面临着诸多问题,政府的卫生投入尤其是基层医疗卫生机构的投入不足,优质医疗资源过度集中在城市三级大医院,满足多样化服务需求的能力有待提升,部分地区医患矛盾升级,医患关系紧张等。为此,我们认为政府应进一步加大对社区医疗卫生机构的建设力度,发挥政府资源调节的杠杆作用,着力建设分级诊疗制度,进一步发展社会资本办医,逐步提升城市医疗服务能力和水平,增加城市居民的服务获得感。

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    Abstract

    With the development of Chinese economy and society,health services in urban China have assumed a rapidly expanding scale. Chinese cities have basicallyestablished “15-minute health service circles”;utilization of both medical services and public health services by urban residents has increased quickly;and novel modes of service provision such as medical groups,physician groups,combining medical care and nursing home care have blazed new trails. However,with the acceleration of urbanization and population ageing,there has been a shift across the spectrum of diseases towards non-communicable diseases. Besides,newly appeared infectious diseases like Ebola hemorrhagic fever are constantly emerging. Urban health services face a number of problems,for instance,insufficient government health expenditure especially for primary medical and health care institutions,excessive concentration of high-quality medical resources in urban tertiary hospitals,the need to improve capacity to meet various demands for services,escalating conflicts between patients and doctors in some areas,frequentviolentattacksthat killed or hurt doctors,and so forth. Therefore,the government should increase its efforts to the development of community health organizations,play the role of leveraging resources,establish hierarchical medical system,further facilitate the development of health care sponsored by social capital,gradually enhance the capability and level of urban health services,and improve urban residents’perception of gaining services.

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    作者简介
    苗艳青:苗艳青,国家卫生计生委卫生发展研究中心研究员,研究室主任,主要研究绿色卫生服务体系、卫生经济、卫生政策。
    赵美英:赵美英,国家卫生计生委卫生发展研究中心助理研究员,主要研究卫生服务体系建设标准、卫生资源配置依据及相关政策。
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