摘要
目的了解“总量控制”指标对社区卫生服务及居民就医产生的影响,为进一步完善医疗保险制度的改革提供科学依据。方法采用现场直接询问调查与文献资料调查相结合的方法,对镇江市京口区江滨新村、花山湾和贺家弄3个社区卫生服务站的经营情况进行调查。结果镇江市京口区社区卫生服务站年平均分配到的医疗保险计划为81万元,实际完成95.35万元。社区卫生服务站每年预计可完成的医疗保险计划为145万元,与实际完成的服务量相比,有近50万元的增长空间。结论对社区卫生服务进行总量控制,不仅影响了社区卫生服务的健康发展以及医生的工作积极性,而且对居民看病就医和维护健康产生了不利的影响。
Objective To understand the effects of ＂total quantity control＂ indexes on community health services and the residents＇ use of them so as to provide scientific basis for furthering reform in the medical insurance system. Methods A survey was made on the operation of the 3 community health centers of Jiangbin Xincun, Huashanwan and Hejianong in Jingkou District of Zhenjiang by means of direct inquiry and literature review. Results The average annual quantity of medical insurance plans allocated to the centers in the last 4 years involved 810 thousand yuan, the quantity actually fulfilled involved 953.5 thousand yuan, and the estimated annual quantity the centers were capable of fulfilling was valued at 1.45 million yuan, nearly 500 thousand yuan more than the quantity actually fulfilled. Condlusion Total quantity control on community health centers not only hinders the healthy development of community health services and the enthusiasm of the medical workers but also adversely affects the residents＇use of health services and their health maintenance.
出处
《中华医院管理杂志》
北大核心
2006年第3期176-178,共3页
Chinese Journal of Hospital Administration
基金
江苏大学科研基金资助项目(编号:C034)
关键词
总量控制
社区卫生服务
居民就医
Total quantity control
Community health services, Residents＇ use of health services
