基于江西省社区卫生服务中心实地调研的社区卫生服务发展系统基模分析

摘要

社区卫生服务健康、有序的发展能够有效缓解"看病难、看病贵"的问题.本研究从系统工程的角度对江西省城市社区卫生服务发展状况进行分析,在系统调研的基础上,以江西省南昌市、九江市、赣州市作为研究对象,将社区卫生服务机构的实际运行情况与管理理论紧密结合,深入系统地分析制约社区卫生服务发展的限制因素.并借助系统动力学反馈动态复杂原理及彼得·圣吉的系统基模分析技术构建了制约社区卫生服务发展的典型系统基模,分别对此进行了定性分析,提出了有针对性的发展策略,为提升社区卫生服务能力提供了理论依据.%The development of community health services ( CHS ) can effectively alleviate the problems of " difficulty to see a doctor and higher medical expense" . From the perspective of system engineering, we analyze in this paper the developing situation of CHS in urban areas of Nanchang, Jiujiang and Ganzhou cities in Jiangxi Province, taking the conditions of actual operation of CHS institutions in close connection with management theory, finding out the negative factors restricting the development of CHS. According to the theory of system dynamics and the analyzing technique of Peter Senge' system archetype, we build up a typical system archetype restricting development of CHS, and analyze it quantitatively, and then we propose the targeted strategy to improve the development of CHS, and thus we provide a theoretical basis for increasing service ability in CHS.