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西藏社区卫生服务是关乎西藏的和谐发展与长治久安的重要问题之一,在改革开放后取得了很大的成就,但目前仍存在一些不足:社区卫生服务网络不健全、卫计人员匮乏、基础设施落后、分级医疗、双向转诊的格局没有形成等问题依然阻碍着社区卫生服务的发展。因此,该文运用多中心治理的理论,针对西藏公共卫生服务的现状提出一些改善建议,即通过政府、市场、社区三个维度的合作与竞争来满足居民多层次的卫生需求。
Tibet’s community health service is one of the important issues concerning the harmonious development and long-term peace and stability in Tibet. After the reform and opening up, great achievements have been made. However, there are still some shortcomings: the health service network in the community is not perfect, the staffs are lacking, and the infrastructure Problems such as backwardness, graded medical care, and the two-way referral pattern still do not form a barrier to the development of community health services. Therefore, based on the theory of multi-center governance, this paper proposes some suggestions for the improvement of public health services in Tibet, namely, to meet the multi-level health needs of residents through cooperation and competition in the three dimensions of government, market and community.