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中国2009年启动的基本公共卫生服务项目主要通过城市社区卫生服务中心(站)、乡镇卫生院、村卫生室等免费为居民提供,社区卫生服务机构成为基本公共卫生服务的网底〔1〕。山东省青岛市自2009年10月开始根据国家医改要求,按照人均15元的标准向社区居民提供9项基本公共卫生服务,然而机构资源配置、人员素质与服务效果密切相关〔2〕,服务能力能否达到政府所购买服务的标准,将直接影响到居民是否能获得高质量的服务以及医改的顺利实施。因此,于
The basic public health service projects launched by China in 2009 are provided free of charge to residents through urban community health service centers (stations), township hospitals and village clinics, and community health service institutions become the bases of basic public health services [1]. Since October 2009, Qingdao City, Shandong Province, has provided 9 basic public health services to community residents according to the national medical reform requirements at a standard of 15 yuan per capita. However, institutional resource allocation and staff quality are closely related to service effects (2) Whether the government can meet the standards of service will directly affect the residents’ access to high-quality services and the successful implementation of health care reform. Therefore, at