Challenges and Optimization Paths for the Development of Community Health Service in China

doi:10.12114/j.issn.1007-9572.2023.0760

Chinese General Practice ›› 2024, Vol. 27 ›› Issue (10): 1162-1165.DOI: 10.12114/j.issn.1007-9572.2023.0760

• Chinese General Practice/Community Health Service • Previous Articles Next Articles

Challenges and Optimization Paths for the Development of Community Health Service in China

1. The Medical Department, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450007, China
2. School of Political Health, Zhengzhou University, Zhengzhou 450001, China
3. School of Public Science and Public Administration, Wuhan University, Wuhan 430072, China
4. School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China

Received:2023-09-04 Revised:2023-12-14 Published:2024-04-05 Online:2024-01-25
Contact: NIU Yadong

中国社区卫生服务发展的挑战与优化路径

1．450007　河南省郑州市，郑州大学附属郑州中心医院医务科
2．450001　河南省郑州市，郑州大学公共卫生学院
3．430072　湖北省武汉市，武汉大学政治与公共管理学院
4．430030　湖北省武汉市，华中科技大学同济医学院医药卫生管理学院

通讯作者: 牛亚冬
作者简介:
作者贡献：吴月苹负责文章的构思与设计、资料的收集与整理、论文撰写；牛亚冬负责论文修订、文章的质量控制及审校，对文章整体负责，监督管理；张亮、张翔、吴建、苗豫东负责文章的质量控制和审校。
基金资助:
国家自然科学基金重点项目(71734003)

Abstract

Abstract:

In the new era, the health needs of residents are constantly increasing, and how community health services adapt to the needs of the times and achieve comprehensive transformation urgently needs to be answered. Firstly, the article reviewed the development process of community health service (CHS) in China and found that it is functionally defective. Secondly, the article summarized the challenges faced by the optimization of CHS in China and pointed out that the current health needs of the population are undergoing structural changes. Finally, the article proposed the optimization paths of CHS in China in terms of changing the focus of work, improving the sense of value for contracted doctors and the sense of achievement for residents, building a collaborative and complementary CHS network, and establishing a demand-oriented health information platform.

Key words: Community health service, Development history, Challenges, Optimization paths, Comment

摘要： 新时代居民健康需求不断提升，社区卫生服务如何顺应时代需求进行全方位转变亟须得到解答。文章梳理了我国社区卫生服务的发展历程，认为存在功能缺位的问题；归纳了我国社区卫生服务发展所面临的挑战，指出当前人群健康需要正发生结构性改变；最后从转变工作重心、提高签约医生价值感和居民获得感、构建协同互补的社区卫生服务网络、建立以需求为导向的健康信息平台等方面提出了我国社区卫生服务发展的优化路径。

关键词: 社区卫生服务, 发展历程, 挑战, 优化路径, 评论

WU Yueping,NIU Yadong,ZHANG Liang, et al. Challenges and Optimization Paths for the Development of Community Health Service in China[J]. Chinese General Practice, 2024, 27(10): 1162-1165. DOI: 10.12114/j.issn.1007-9572.2023.0760.
吴月苹,牛亚冬,张亮等. 中国社区卫生服务发展的挑战与优化路径[J]. 中国全科医学, 2024, 27(10): 1162-1165. DOI: 10.12114/j.issn.1007-9572.2023.0760.

References 31

[1]	国务院关于发展城市社区卫生服务的指导意见[J]. 中国全科医学，2006，9（5）：349-350.
[2]	解亚红. 我国城市社区卫生服务：内涵、问题及思考[J]. 中国行政管理，2010（12）：99-102.
[3]	姚敏，徐义海，饶志翔，等. "强基层"改革下的社区卫生服务供给优化路径探讨[J]. 中国卫生经济，2020，39（3）：64-69. DOI：10.7664/CHE20200315.
[4]	马方，李君荣. 刍议社区卫生服务"六位一体"功能的重新定义[J]. 中华医院管理杂志，2013，29（1）：61-63. DOI：10.3760/cma.j.issn.1000-6672.2013.01.019.
[5]	MACINKO J，STARFIELD B，ERINOSHO T. The impact of primary healthcare on population health in low- and middle-income countries[J]. J Ambul Care Manage，2009，32（2）：150-171.
[6]	中共中央、国务院关于卫生改革与发展的决定[J]. 卫生软科学，1997，11（2）：2-9.
[7]	关于发展城市社区卫生服务的若干意见[J]. 中国全科医学，1999，2（5）：337-339.
[8]	卫生部. 城市社区卫生服务中心设置指导标准[J]. 中国社区医学，2001，7（1）：1-2.
[9]	国家卫生健康委员会. 中国卫生健康统计年鉴-2022[M]. 北京：中国协和医科大学出版社，2022.
[10]	刘曼玲，姚文柱，冯巩. 建国70年以来我国社区卫生服务的发展[J]. 中华全科医学，2019，17（8）：1251-1254，1311.
[11]	健康中国行动推进委员会. 健康中国行动（2019—2030年）[A/OL].（2019-07-30）[2023-08-14].
[12]	中共中央，国务院. 中共中央　国务院印发《"健康中国2030"规划纲要》[A/OL].（2016-12-30）[2023-12-14].
[13]	国家统计局. 中国统计年鉴[M]. 北京：中国统计出版社，2022.
[14]	中关村新智源健康管理研究院，中南大学健康管理研究中心. 中国健康管理与健康产业发展报告[M]. 北京：社会科学文献出版社，2018.
[15]	罗莉，罗盛，李伟. 城市社区慢性病老年人护理服务需求及影响因素[J]. 中国老年学杂志，2016，36（19）：4883-4884.
[16]	孙鑫章，戴付敏，张国增. 老年慢性非恶性疾病姑息护理的研究进展[J]. 中华护理杂志，2013，48（11）：1051-1054.
[17]	杨宜勇，张本波，李璐，等. 及时、科学、综合应对我国人口老龄化研究[J]. 宏观经济研究，2016（9）：3-19，99.
[18]	司明舒. 老年人医养结合机构模式选择与服务供需研究[D]. 济南：山东大学，2019.
[19]	鲍玉荣，姜琳琳. 我国远程医疗发展的回顾与展望[J]. 中国数字医学，2019，14（5）：99-102.
[20]	牛亚冬，张研，张亮. 卫生服务整合价值与内容思考[J]. 中华医院管理杂志，2018，34（7）：529-531.
[21]	许兴龙，仲媛媛，顾进华. 居民参与卫生服务价值共创研究的回顾与展望[J]. 卫生软科学，2023，37（6）：25-29.
[22]	O'LEARY J，EDELSON V，GARDNER N，et al. Community-centered family health history：a customized approach to increased health communication and awareness[J]. Prog Community Health Partnersh，2011，5（2）：113-122.
[23]	RAVAGHI H，GUISSET A L，ELFEKY S，et al. A scoping review of community health needs and assets assessment：concepts，rationale，tools and uses[J]. BMC Health Serv Res，2023，23（1）：44. DOI：10.1186/s12913-022-08983-3.
[24]	LAYMON B，SHAH G，LEEP C J，et al. The proof's in the partnerships：are Affordable Care Act and Local Health Department accreditation practices influencing collaborative partnerships in community health assessment and improvement planning?[J]. J Public Health Manag Pract，2015，21（1）：12-17.
[25]	VAN WEEL C. Nutritional guidance in general practice-a conceptual framework[J]. Eur J Clin Nutr，1999，53（Suppl 2）：S108-111.
[26]	GKIOULEKA A，WONG G，SOWDEN S，et al. Reducing health inequalities through general practice[J]. Lancet Public Health，2023，8（6）：e463-472. DOI：10.1016/S2468-2667(23)00093-2.
[27]	PROVAN K G，NAKAMA L，VEAZIE M A，et al. Building community capacity around chronic disease services through a collaborative interorganizational network[J]. Health Educ Behav，2003，30（6）：646-662. DOI：10.1177/1090198103255366.
[28]	CONRAD D A，CAVE S H，LUCAS M，et al. Community care networks：linking vision to outcomes for community health improvement[J]. Med Care Res Rev，2003，60（4 Suppl）：95S-129S. DOI：10.1177/1077558703259096.
[29]	COOMBS D. Primary health networks' impact on aboriginal community controlled health services[J]. Aust J Public Adm，2018，77（S1）：S37-46. DOI：10.1111/1467-8500.12357.
[30]	杜小雅，何炜，陈育庆，等. 信息化平台下社区卫生服务能力提升路径研究：基于价值网络视角[J]. 中国卫生事业管理，2019，36（8）：569-572，582.
[31]	琚文胜，彭飞，杨小冉，等. 基于大数据的区域慢病管理信息平台设计[J]. 中国数字医学，2023，18（3）：5-9.

Challenges and Optimization Paths for the Development of Community Health Service in China

中国社区卫生服务发展的挑战与优化路径

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