福州市社区卫生服务双向转诊运行机制的分析-社会医学与卫生事业管理专业论文.docxVIP

8 8 set up the downward referral system which should be put into the single disease clinical pathway, which should be based on the diseases which community health centers experience commonly and the diseases which the hospitals need to send to community health centers strongly, and should be based on the conditions that community health centers should have enough health recourses to do well the work. 2 To make the above ideas truly carry out, government plays an important role in realizing the idea which was mentioned above, and government must strengthen intervention, and should balance every stakeholders’ benefits. What’s more, government should based on the aspects of polices which concludes Health Care System, Chinese Essential Medicine System, and System of Public Hospital to Support Community Health Service, and so on so forth, to promote community health centers to improve their medical conditions to satisfy the patients’ needs who come from hospitals. Moreover, hospitals should change their management methods, enhance the hospital bed turnover and encourage more patients to go back to community health service centers to be treated; Finally, the residents should change their referral concepts and behavior. Keywords： Community Health Services, Hospitals, Dual Referral System, Suggestions 1 1 学位论文原创性声明和版权使用授权书 学位论文原创性声明 本人郑重声明：所呈交的学位论文，是本人在导师的指导下，独立进行研究工作所取得 的真实成果。除文中已注明引用的内容外，本论文不含任何其他个人或集体已经发表或撰写 过的作品成果。对本论文的研究做出重要贡献的个人和集体，均已在文中以明确方式标明。 本人完全意识到本声明的法律结果由本人承担。 作者签名（手写）： 导师签名（手写）： 年 月 日  年 月 日 学位论文版权使用授权书 本学位论文作者完全了解学校有关保留、使用学位论文的规定，同意学校保 留并向国家有关部门或机构（如国家图书馆、中国学术期刊电子杂志社的《中国 优秀博硕士学位论文数据库》、中国科学技术信息研究所的《中国学位论文全文 数据库》等）送交论文的复印件和电子版，允许论文被查阅和借阅。本人授权福 建医科大学可以将本学位论文的全部或部分内容编入有关数据库进行检索，可以 采用影印、缩印或扫描等复制手段保存和汇编本学位论文。 （必威体育官网网址的学位论文在解密后适用本授权书） 作者签名（手写）： 导师签名（手写）： 年 月 日  年 月 日 PAGE PAGE 10 1 前言 1.1 研究背景 1.1.1国内双向转诊实施的现况 如何提高城市卫生资源的利用效率一直是医疗卫生体制改革与发展中的重 要课题，所采取的改革措施包括调整医疗服务价格，建立医疗保险分担机制，大 力发展社区卫生服务等等，