CAJ | 학술논문

社区卫生委员会作为基层卫生服务管理的一种公众参与机制,通过建立自下而上的卫生社情民意沟通渠道和社区卫生监督体系,让社区居民(村民)参与基层卫生的决策和管理,改变自上而下的传统卫生管理模式,改善基层医疗服务,提高政府的治理能力.文章介绍了浙江GTF项目县社区卫生委员会运作情况,分析了这项试点的初步成效和创新经验,探索了社区居民参与基层卫生服务管理的新机制和新模式.
사구위생위원회작위기층위생복무관리적일충공음삼여궤제,통과건립자하이상적위생사정민의구통거도화사구위생감독체계,양사구거민(촌민)삼여기층위생적결책화관리,개변자상이하적전통위생관리모식,개선기층의료복무,제고정부적치리능력.문장개소료절강GTF항목현사구위생위원회운작정황,분석료저항시점적초보성효화창신경험,탐색료사구거민삼여기층위생복무관리적신궤제화신모식.
Community Health Committee (CHC), an innovative public participation mechanism of grassroots health service management, established a bottom-up communication channel between the public and government to communicate health related problems and opinions, and set up a grassroots community health services supervision system. The rural residents were endowed with opportunities to take part in grassroots health care decision making and management by CHC. CHC changed the top-down model of traditional health management, improved the grassroots medical services, and increased governance capability of local government We introduced the CHC practice in Zhejiang project counties, exhibited the primary effects and experience of this pilot program, and explored new mechanism and model for rural community residents to participate in grassroots health service management