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1研究背景与资料许多西方国家的政府正在尝试改善卫生系统的效率、适宜性和公平性。采取的主要策略之一,是将国家和地区组织提供和管理服务的职责下放给地方初级保健组织,并将预算分配给初级保健组织,用于提供初级、二级(医院服务)保健服务。作者基于英国政府资助的发展初级保健组织的评估文献,综合评价英国发展初级保健组织的连续性试点的影响,并评估初级保健组织对整合卫生与社区服务、卫生与社会服务及减少医院服务的长远作用。
1 Research Background and Information Many Western governments are trying to improve the health system’s efficiency, suitability and fairness. One of the main strategies adopted is to delegate the responsibility of national and regional organizations for the provision and management of services to local primary health care organizations and to allocate the budget to primary health care organizations for the provision of primary and secondary (hospital services) health services. Based on the UK government-funded assessment of developing primary care organizations, the authors evaluate the impact of continuity testing of developing primary health care organizations in the UK and assess the long-term impact of primary health care organizations on integrating health and community services, health and social services and reducing hospital services effect.