摘要
针对乡村卫生服务一体化管理 (以下简称一体化 )的若干质疑阐明观点。①一体化的预期目标不是解决乡镇卫生院的内部改革问题 ,而建立对村级卫生服务的管理才是推行一体化的设定目标 ,且一体化能够实现其预定目标。②农村卫生组织的产权结构不应该成为农村卫生改革的检验标准 ,检验农村卫生改革的标准应该看是不是有利于建立具有安全性、有效性、综合性、非营利性的卫生服务。③对一体化后诊疗费用的增高应该作具体分析。④一体化管理是以“一体”为依托建立起“管理” ,“统”是“管”的必要手段。⑤一体化的完善需要有一个过程。
The author expounds his views on some queries about the integrated management of rural health services. ①The prospective goal of the integrated management is not to solve problems in the internal reform of township public health centers, but to implement management of health services at the village level, a goal that can be attained. ②The structure of property rights of rural health institutions ought not to become the criterion of rural health reform; what should become the criterion ought to be the establishment of safe, effective, comprehensive, and non profitable health services. ③Concrete analyses should be made regarding the increase of charges for medical services after the integrated management. ④The integrated management means management based on integration, the latter being an indispensable means of the former. ⑤Perfection of the integrated management needs to go through a process.
出处
《中华医院管理杂志》
2002年第4期218-221,共4页
Chinese Journal of Hospital Administration
