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目的探究基本药物制度实施对山东省社区卫生服务机构基本医疗和公共卫生服务功能产生的影响并提出对策建议。方法运用系统动力学方法,在分析基本药物制度实施与社区服务功能的因果关系的基础上,构建流图并进行模拟,预测未来发展趋势。结果基本药物制度实施后,社区基本医疗服务功能相对弱化,公共卫生服务相对增强。结论政府应充分发挥调控作用,完善基本药物制度以减少其对社区基本医疗服务的冲击,保证社区基本医疗与公共卫生双网底功能的实现。
Objective To explore the impact of the implementation of the basic drug system on the basic medical services and public health services of community health service institutions in Shandong Province and to put forward countermeasures and suggestions. Methods Based on the analysis of the causal relationship between the implementation of the basic drug system and the community service function, the system dynamics method was used to construct the flow chart and simulate it to predict the future development trend. Results After the implementation of the basic drug system, the basic medical services in the community were relatively weakened and the public health service was relatively enhanced. Conclusion The government should give full play to the regulatory role, improve the basic drug system to reduce its impact on the basic medical services in the community and ensure the realization of the dual basic function of community basic medical care and public health.