| 引用本文：张勘,董伟.上海医疗服务体系现况分析及新医改未来发展的政策建议[J].中国卫生政策研究,2009,2(6):32-35 |
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| 上海医疗服务体系现况分析及新医改未来发展的政策建议 |
| 投稿时间：2009-06-02 修订日期：2009-06-05 PDF全文浏览 HTML全文浏览 |
| 张勘1, 董伟2 |
| 1.上海市卫生局;2.复旦大学公共卫生学院 |
| 摘要:本文系统分析了上海医疗服务体系存在的部分类别和专科服务供给不足、优质资源分布不合理、宏观医疗资源配置效率不高、高端医疗发展缓慢等问题，认为新医改方案应调整和完善医疗资源分布，大力发展短缺医疗资源和积极扶持高端医疗;同时要明确规范各级医疗机构职能定位，改革管理体制机制，医疗机构实行全行业属地化管理，探索区域性医疗联合体，从而完善医疗服务体系，推进医疗资源有效整合。 |
| 关键词:医疗服务体系 医疗资源整合 新医改 |
| 基金项目:上海市发展与改革委员会课题资助（编号：003200801 ） |
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| A situation analysis of medical service system and policy suggestions to new health system reform in Shanghai |
| ZHANG Kan1, DONG Wei2 |
| 1.Shanghai Municipal Health Bureau;2.School of Public Health, Fudan University |
| Abstract:This article analyses problems about medical service system of Shanghai, such as insufficient some types of medical services, unreasonable distribution of high quality medical resources, low efficiency of medical resources macro allocation, special medical service developing too slowly and so on. Through systematically analyzing these problems, this paper suggests Shanghai’s new medical reform should pay attention to adjust and improve medical resources distribution. It is important to balance the increasing need of the shortage of medical resource and the encouraging the development of medical high technology. In addition, function orientation of all levels of medical instructions must be defined, and localized management should be applied in the whole medical system, while regional medical association may be established to promote medical resource integration. |
| Key words:Medical services system, Medical resources integration, New health system reform |
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