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。
<<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.
<<Keywords: | RecommendationsUrban Health Services |