CAJ | 학술논문

为了能够有效解决农村医疗卫生优质资源下不去、基层人才留不住、群众看病不方便等问题，西安市在对基层卫生人才进行全面分析和调研后，提出了以“三个统一、三个不变”为核心内容的医疗服务县镇一体化工作模式。该模式在保持乡镇卫生院职能不变的前提下，把乡镇卫生院整体纳入区县级公立医院管理，实行编制人事、运营管理、医疗服务三个一体化管理，希望进一步提高基层医疗卫生单位服务能力。通过两年多的运行，试点乡镇卫生院门急诊诊疗人数、住院人数、双向转诊人数、业务收入等有了明显提升，极大地方便了农村群众看病就医，降低了群众经济负担，有效缓解了农村群众的看病难、看病贵问题。
위료능구유효해결농촌의료위생우질자원하불거、기층인재류불주、군음간병불방편등문제，서안시재대기층위생인재진행전면분석화조연후，제출료이“삼개통일、삼개불변”위핵심내용적의료복무현진일체화공작모식。해모식재보지향진위생원직능불변적전제하，파향진위생원정체납입구현급공립의원관리，실행편제인사、운영관리、의료복무삼개일체화관리，희망진일보제고기층의료위생단위복무능력。통과량년다적운행，시점향진위생원문급진진료인수、주원인수、쌍향전진인수、업무수입등유료명현제승，겁대지방편료농촌군음간병취의，강저료군음경제부담，유효완해료농촌군음적간병난、간병귀문제。
To effectively deal with the problems of poor of good health resources, health staff turnover and inaccessible of medical service in townships and villages, based on general analysis and investigation on health staff in township and village level in Xi’an, new health service delivery mode focuses on three unifications and three invariants is presented. Based on the preconditions of keeping township health center’s functions, the personnel management, operation management and medical delivery management are integrated to county hospital to improve township health center’s capacity. After 2 years, the numbers of outpatients and hospitalizations, dual referrals and incomes have been continuously promoted and health economic burden has been decreased, which has effectively smoothed the contradictions of health service inaccessible and unaffordable in rural area.