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目的:了解和分析东部地区5个城市社区卫生服务功能实现情况,总结经验,探索有关问题,为提升城市社区卫生服务功能提供借鉴与参考。方法:问卷调查、深入访谈和焦点组讨论。结果:东部地区5城市基本医疗服务功能得到加强,公共卫生服务功能得到拓展,中医服务功能得到推进。结论:东部地区5城市社区基本医疗和公共卫生服务功能实现情况较好;政府主导,健全网络体系是功能实现的前提条件;加大财政投入是功能实现的基本保障;创新服务模式是功能实现的连接桥梁;推进机制改革是功能实现的根本动力。
OBJECTIVE: To understand and analyze the implementation of community health service functions in five cities in the eastern region, sum up experiences and explore relevant issues so as to provide reference and reference for enhancing community health services in urban areas. Methods: Questionnaires, in-depth interviews and focus group discussions. Results: The functions of basic medical services in 5 cities in the eastern region were strengthened, the public health service functions were expanded, and the service functions of Chinese medicine were advanced. Conclusion: The implementation of basic medical services and public health services in five cities in the eastern region is good. Government-led and sound network system are the prerequisites for the realization of functions. Increasing financial input is the basic guarantee for the realization of functions. Innovative service mode is the function of Connect the bridge; promote the reform of the mechanism is the fundamental driving force of the function.