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社区卫生服务是当前我国医疗卫生改革的突破口和关键环节,实现全社会享受基本医疗的重要措施,其在缓解群众“看病贵”和“看病难”维护社会稳定等方面发挥了积极作用。目前我国城市社区卫生服务尚处于不断发展和完善阶段,其中,经济补偿机制不健全是制约其发展的最大障碍之一。作者通过对国内城市社区卫生服务国家及地方财政补偿的情况、遇到的问题进行分析,参考国外的卫生服务机构的补偿经验,提出改进我国城市社区卫生服务机构的长效补偿机制,合理配置卫生资源,完善医疗保障制度,制定合理的补偿政策,实现城市社区卫生服务职能,为居民提供安全有效方便价廉的基层医疗卫生服务,促进城市社区卫生服务健康有序的发展。
Community health service is a breakthrough and a key link in the current medical and health reform in our country. It is an important measure for the whole society to enjoy basic medical treatment. It has played a positive role in alleviating the masses ’difficulty in seeing a doctor and maintaining the social stability’ effect. At present, the urban community health service in our country is still in the stage of continuous development and improvement. One of the biggest obstacles to its development is its imperfect economic compensation mechanism. Based on the analysis of the financial compensation problems of the urban and rural community health service in China and the problems encountered, the author makes reference to the compensation experience of foreign health service agencies and puts forward the long-term compensation mechanism to improve the urban community health service agencies in our country. Resources, improve the medical security system, formulate a reasonable compensation policy, realize the urban community health service functions, provide residents with safe and effective primary care and low-cost medical services, and promote the healthy and orderly development of urban community health services.