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在过去十年中,加拿大联邦、省及地区参与者通过对省医疗卫生系统的改革竭力改善基层医疗卫生服务。对于不同的人群、城乡环境及政治和文化背景,加拿大都有其相应的工具、策略及方法去实施相应的改革计划并提供见解。基层医疗改革方案的涵盖范围包括基础架构、薪酬、职工总数、医疗质量与安全性及持续性改革。1.基础架构。加拿大许多省份的医疗改革核心为发展多学科、跨专业的基层医疗团队。基层医疗团队的发展有着很大的灵
Over the past decade, federal, provincial and district participants in Canada have worked hard to improve primary health care services through reforms in the provincial healthcare system. For different people, urban and rural environments and political and cultural backgrounds, Canada has its own tools, strategies and methods to implement the appropriate reform plan and provide insights. Coverage of primary health care reform programs includes infrastructure, compensation, the total number of staff, quality of care and safety and ongoing reforms. 1. Infrastructure. The core of health care reform in many Canadian provinces is to develop multidisciplinary and multi-disciplinary grass-roots medical teams. The development of grassroots medical team has great spirit