论文部分内容阅读
农村签约服务是国家卫生计生委在2013年4月印发的一份文件中提出的。当时所强调的签约主体是乡村医生,签约项目是基本公共卫生服务,签约资金是基本公共卫生经费。3年过去了,一些地区签约服务在实际运行过程中出现了“三级跳”:签约主体由乡村医生个人发展为乡、村两级卫生组织;签约项目由单一的基本公共卫生服务发展为包括基本医疗服务在内的“套餐服务”;签约资金由完全依靠基本公共卫生服务经费发展为包括合作医疗基
Rural contracting services are proposed by the National Health and Family Planning Commission in a document issued in April 2013. At that time, the main contracting parties emphasized were rural doctors, contracted projects were basic public health services, and contracted funds were basic public health funds. Three years have passed. Some contracted services in some areas have experienced “triple jumps” during the actual operation: the contracted entities are individually developed by rural doctors into township and village health organizations; contracted projects are developed by a single basic public health service For basic medical services, including “package service ”; contracted funds from relying solely on basic public health service funding development to include the cooperative medical base