摘要
从居民和政府的角度分析社区参与的优势,发现我国目前社区参与基层卫生服务存在4个方面的问题,即居民被动性参与、参与范围狭窄、程度有限、渠道单一,社区参与基层卫生服务可能面临障碍。在上述分析基础上,提出充分发挥社区参与的作用,将以"供给方为导向"的基层卫生服务转变为"以需求方为中心"。可以考虑借鉴印度社区参与实验的经验教训,从社区居民参与基层卫生服务项目优先序的选择方面入手,逐步完善社区居民参与基层卫生服务的监督机制。
This paper presents the strength of community -hased participation from both the residents and government perspectives, and then summarizes the four characteristics of current community - based participation, that is, the inactive, low participation rates, limited extend and single channel of involvements of community members. The study also describes several obstacles to introducing community - based participation in the grassroots health service. Some improvements would be made by changing the way health services are provided - shifting away from supply - oriented to demand - centered via bringing into full play the role of community - based participation. It is necessary community members he giv- en priority to make decisions of the priority order of all the health services items. A credible system of public supervision could further improve outcomes.
出处
《医学与社会》
2013年第12期62-64,共3页
Medicine and Society
基金
中国人民大学科学研究基金(中央高校基本科研业务费专项资金资助)项目
编号为2009030074
关键词
基层卫生服务
社区参与
社区监督
Grassroots Health Service
Community- based Participation
Community- based Supervision
