用户名：
密码：
首页
① 新闻管理
添加新闻
② 政策管理
添加政策
③ 法定规划
添加国空规划
③ 规划PDF附件
添加规划PDF附件
③ 规划图纸
添加规划图纸
④ 资料管理
添加资料
开通用户权限
⑥ AIGC课程学员
添加学员
MJ账号分组
2-AI图库管理
添加图库
3-AI新闻网站
添加信息
4-AI模型管理
添加模型
精准搜索
添加精准
知识库
添加知识库
规划问答
添加信息
小匠QQ微信群宣传
添加推荐
数据网址
添加网站
微信文章管理
课件系统
添加视频
一周热点整理
[ 常用工具 ]
格式化工具
段落合并工具
飞书
金数据
生成封面图
当前：新闻编辑 |
格式化工具
|
查看本文
标题
【Open Access】基于智慧城市思想的社区健康服务均衡性研究——以深圳市为例
分类
（编号：1116）
国土空间
城市更新
城市设计
生态环境
乡村振兴
区域发展
专项规划
资料下载
规划头条
政策规范
规划直播
其他
新闻
好物
观点
城市
政策
设计
社区
建筑
环境
产业
旅游
交通
读书
优选
榜单
空间规划
区域
文化
村镇
智慧
会议
公众参与
微文
摩天楼
地标
航拍
规划
链接
http://mp.weixin.qq.com/s?__biz=MzU2MzAwODQ4Nw==&mid=2247494355&idx=1&sn=8bd165b7d83442bd4ed97a1a540aac2a&chksm=fc626c5bcb15e54d2566ba79ebca49ded5a0d6412180b57c5fb47556602bfc824994834279df&scene=27#wechat_redirect
作者
南粤规划
时间
2020-06-10 14:43:44
政策
省
市
年
月
直播
主办：
协办：
时间：
会议室：
直播链接：
h1
/h1
h2
/h2
strong
/strong
<br /><p style="max-width: 100%;min-height: 1em;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;">【文章编号】1002-1329 (2020)02-0095-08</span></p><p><span style="font-size: 14px;letter-spacing: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;">【中图分类号】TU984.12；R197.1</span><br /></p><section style="max-width: 100%;letter-spacing: 0.544px;min-height: 1em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;letter-spacing: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;">【文献标识码】A</span></section><section style="max-width: 100%;letter-spacing: 0.544px;min-height: 1em;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0px;font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;">【doi】10.11819/cpr20200214a</span></section><section style="max-width: 100%;min-height: 1em;letter-spacing: 0px;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;letter-spacing: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;">【作者简介】</span><strong style="max-width: 100%;letter-spacing: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;"></strong></section><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 5px;"><span style="font-size: 14px;">王彦钧(1990-)，男，硕士，广东省城乡规划设计研究院深圳分院规划师。</span></section><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 5px;"><span style="font-size: 14px;">朱文健(1976-)，男，博士，深圳大学建筑与城市规划学院讲师。本文通信作者。</span></section><section style="margin-left: 8px;margin-right: 8px;margin-bottom: 5px;"><span style="font-size: 14px;">江镇伟(1992-)，男，硕士，深圳卓越城市更新集团有限公司规划师。</span></section><p style="margin-left: 8px;margin-right: 8px;margin-bottom: 20px;"><span style="font-size: 14px;">朱 琳(1989-)，女，硕士，广东省城乡规划设计研究院深圳分院规划师。</span></p><section style="max-width: 100%;box-sizing: border-box;letter-spacing: 0.544px;font-size: 16px;overflow-wrap: break-word !important;"><section powered-by="gulangu" style="max-width: 100%;box-sizing: border-box;transform: rotate(0deg);overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;"><section style="padding: 10px;max-width: 100%;box-sizing: border-box;display: inline-block;width: 677px;border-width: 1px;border-style: solid;border-color: rgb(192, 200, 209);box-shadow: rgb(170, 170, 170) 0px 0px 10px;overflow-wrap: break-word !important;"><section powered-by="gulangu" style="max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;"><section style="padding: 0.1em 0.1em 0em;max-width: 100%;letter-spacing: 0.544px;display: inline-block;background: rgb(214, 0, 74);text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="padding: 0.5em 0.8em;max-width: 100%;color: rgb(255, 255, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;">精彩导读</p></section></section></section><section style="margin-top: -1em;margin-right: auto;margin-left: auto;padding: 1em 0.5em;max-width: 100%;font-size: 1em;letter-spacing: 0.544px;width: auto;height: auto;overflow: hidden;border-top: 0.1em dashed rgb(214, 0, 74);line-height: 1.4em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="line-height: 2em;margin-top: 15px;margin-bottom: 15px;"><span style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">【摘要】</span><span style="font-size: 16px;">伴随城市化发展和医疗体制改革，基础医疗发展已成为中国医疗卫生建设重点之一。社区健康服务中心作为基础医疗卫生服务的载体，其建设情况关系到医疗卫生的健康发展。本文通过问卷、访谈等方式对深圳市社区健康服务中心进行调查研究，从空间、配置、服务三方面做出建设均衡性分析，发掘其中存在的不足。并以智慧城市的核心思想为指导，针对发现的问题提出统一管理权、建立统一平台、加强各机构间联系、加快医疗卫生制度创新、医疗卫生规划优先等5条建议，希望能改善基础医疗卫生分布均衡性，促进社区健康服务中心健康发展及中国医疗事业持续进步。</span></p><p style="margin-bottom: 20px;"><span style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">【关键词】</span><span style="font-size: 16px;">社康；医疗；智慧城市；城镇化；GIS</span></p><p style="margin-top: 5px;margin-bottom: 15px;max-width: 100%;min-height: 1em;text-indent: 0em;text-align: left;line-height: 1.75em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong><span style="max-width: 100%;letter-spacing: 0.544px;color: rgb(0, 0, 0);font-family: Arial, sans-serif;font-size: 14px;orphans: 1;widows: 1;text-size-adjust: auto;box-sizing: border-box !important;overflow-wrap: break-word !important;">RESEARCH ON THE BALANCE OF COMMUNITY HEALTH SERVICE BASED ON THE IDEA OF SMART CITY: A CASE STUDY ON SHENZHEN</span></strong></p><p style="line-height: 1.75em;text-align: left;margin-bottom: 15px;"><span style="max-width: 100%;letter-spacing: -0.1pt;font-size: 14px;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">ABSTRACT：</span><span style="font-size: 14px;">With the development of urbanization and the reform of medical system, the development of basic medical care has become one of the key points of medical and health construction in China. As the carrier of basic medical and health services, the construction of community health service center is related to the healthy development of medical and health services. This paper investigates the condition of community health service centers in Shenzhen from three aspects of space, configuration, and service, through questionnaire, interview and other ways to analyze the construction balance and to explore the shortcomings. Under the guidance of the core idea of smart city, five suggestions are put forward to solve the problems found, including unified management right, establishment of unified platform, strengthening the connection between various institutions, accelerating the innovation of medical and health system, and giving priority to medical and health planning. It is expected that the distribution balance of basic medical and health care can be improved, and the healthy development of community health service centers and the continuous progress of China’s medical industry can be promoted.</span></p><p style="text-align: left;"><span style="max-width: 100%;text-align: left;letter-spacing: -0.1pt;font-size: 14px;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">KEYWORDS：</span><span style="font-size: 14px;">social health; medical treatment; smart city; urbanization; GIS</span></p></section></section></section></section></section></section><p style="margin-left: 8px;margin-right: 8px;"><br /></p><section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="overflow: hidden;box-sizing: border-box;margin-left: 8px;margin-right: 8px;"><section style="border-bottom: 1px solid rgb(192, 21, 21);display: inline-block;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.3;padding-right: 0.2em;padding-left: 0.2em;font-size: 22px;color: rgb(255, 255, 255);background-color: rgb(192, 21, 21);box-sizing: border-box;"><p style="box-sizing: border-box;">1</p></section><section style="display: inline-block;padding-right: 0.5em;padding-left: 0.5em;box-sizing: border-box;"><p style="box-sizing: border-box;"><span style="font-size: 17px;"><strong style="box-sizing: border-box;">引言</strong></span></p></section></section></section></section></section><section style="text-indent: 2em;margin: 15px 8px 10px;line-height: 2em;"><span style="font-size: 16px;">自改革开放以来，中国经济飞速发展，城镇化率不断提高，然而，城镇基本公共服务发展却较为缓慢，公共服务发展不均衡现象在城乡差别、贫富差别等问题中反映尤为明显，而不合理的规划使这种不均衡逐渐加大[1]。根据马斯洛《人类激励理论》提出的需求层次理论，安全需求是除生理需求外最基本的需求，因此健康的城市必须为全体市民提供安全的环境，这种安全不仅包括警务、消防，还包括医疗卫生、义务教育、住房保障等社会公共服务。医疗卫生系统因其知识体系的特殊性与复杂性，在规划界中的讨论和研究相对较少，然而医疗卫生服务与广大市民生命保障息息相关，是健康的城镇所必需的组成元素之一，应予以重视[2]。</span></section><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">中国医疗事业自1994年体制改革以来实现了跨越式发展，然而2005年国务院发展研究中心与世界卫生组织合作的研究报告《中国医疗卫生体制改革》明提出，过度追求规模、效益以及市场化导致了医疗资源过度集中、基础医疗发展缓慢，不仅造成浪费，而且加重社会不平等，因此必须合理进行医疗卫生规划，优化资源配置，控制医院规模，加强基础医疗设施建设[3]。2005年开始新医改，重点加强基础医疗卫生建设，明确政府承担的责任，完善社区医疗卫生服务，将过去“市——区——街道”三级医疗服务体系简化为“城市——社区”二级体系，使医疗资源均衡分布[4]。在《卫生事业发展“十二五”规划》(国发〔2012〕57号)、《“十三五”卫生与健康规划》(国发〔2016〕77号)中均明确表示未来城市医疗卫生服务体系将以社区医疗卫生为基础，要求加强社区医疗卫生建设，建立分工明确、协同合作的城市医疗卫生服务体系。近年来，社区医疗卫生服务点覆盖率快速提高，很多城市已经基本实现全覆盖，这符合其承担基本医疗服务职能特点[5]。但受城市中原有医疗资源分布不均及现行社区医疗卫生站点建设方式的影响，区、街道、甚至是社区间的社区医疗卫生服务水平依然存在差距[6-9]。</span></p><section style="margin-left: 8px;margin-right: 8px;"><br /></section><section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="overflow: hidden;box-sizing: border-box;margin-left: 8px;margin-right: 8px;"><section style="border-bottom: 1px solid rgb(192, 21, 21);display: inline-block;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.3;padding-right: 0.2em;padding-left: 0.2em;font-size: 22px;color: rgb(255, 255, 255);background-color: rgb(192, 21, 21);box-sizing: border-box;"><p style="box-sizing: border-box;">2</p></section><section style="display: inline-block;padding-right: 0.5em;padding-left: 0.5em;box-sizing: border-box;"><p style="box-sizing: border-box;"><span style="font-size: 17px;"><strong style="box-sizing: border-box;">研究思路</strong></span></p></section></section></section></section></section><section style="text-indent: 2em;margin: 15px 8px 10px;line-height: 2em;"><span style="font-size: 16px;">社区卫生服务是“不以营利为目的，以社区、家庭和居民为服务对象，以妇女、儿童、老年人、慢性病人、残疾人、贫困居民等为服务重点，开展健康教育、预防、保健、康复、计划生育技术服务和一般常见病、多发病的诊疗服务”(《国务院关于发展城市社区卫生服务的指导意见》国发〔2006〕10号)。因此社区卫生服务的研究内容应包括社区联系、机构运作、服务开展和特殊人群照顾这四大方面，其中社区联系与均衡性有最直观的联系，可通过空间可达性进行相关分析[10]。然而单纯的空间研究较为宏观，缺乏对具体资源配置的了解；对于具体机构运作，现有相关研究主要集中于人员或床位两个因素[11-12]，对业务用房及其他设施关注较少，结论难免有失缜密；至于服务效果因其难以定量，因此过去多数分析都是建立在患者的满意度评估上[13]，然而患者毕竟只是被动感受服务，往往难以准确直观地发现根本问题；在特殊人群照顾方面，针对老年人、慢病患者等特殊群体的分析已有不少[14-15]，但对于不同医疗保障类型人群间产生差异的分析却较少涉及。本文将从机构本身出发，收集详细的设施配置情况，并通过访谈中心负责人了解其服务范围和流程，从中发现问题根源，并就医保制度对社区医疗均衡性的影响进行分析。</span></section><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">研究以深圳市为对象。作为一个新兴城市，其经济发展之快有目共睹，然而在城市基础设施建设方面却呈现发展滞后的现象，尤其在医疗卫生建设方面还有巨大的发展空间，如深圳市“十二五”规划中提出2015年达到每千人3.9张病床和3.0位执业医生的目标，“十三五”规划中提出2020年达到每千常住人口床位数4.3张和执业医生数达到2.8名。而这一数据只是国内先进城市10年前的水平。然而，在新医改的指导方针下，深圳市的医疗卫生建设获得新的发展契机，那就是加快基础医疗卫生建设，多层次协同发展，通过医疗资源高效分配提升深圳医疗卫生服务整体水平。本文将对深圳市社区健康服务中心(下文简称社康中心)总体建设分布及具体的配置、服务情况等3个方面进行均衡性分析，通过文献研究、问卷调查、实地观察和访谈等方法探究其优缺点，希望通过提出相应的建议推动其更合理地发展。</span></p><section style="margin-left: 8px;margin-right: 8px;"><br /></section><section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="overflow: hidden;box-sizing: border-box;margin-left: 8px;margin-right: 8px;"><section style="border-bottom: 1px solid rgb(192, 21, 21);display: inline-block;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.3;padding-right: 0.2em;padding-left: 0.2em;font-size: 22px;color: rgb(255, 255, 255);background-color: rgb(192, 21, 21);box-sizing: border-box;"><p style="box-sizing: border-box;">3</p></section><section style="display: inline-block;padding-right: 0.5em;padding-left: 0.5em;box-sizing: border-box;"><p style="box-sizing: border-box;"><span style="font-size: 17px;"><strong style="box-sizing: border-box;">分布均衡性分析</strong></span></p></section></section></section></section></section><section style="text-indent: 2em;margin: 15px 8px 10px;line-height: 2em;"><span style="font-size: 16px;">截止到2014年8月，深圳共有社康中心594所，绝大部分由区属公立医院举办，民营医院及在深企业等社会资本和市属公立医院各举办了少量社康中心，而部队医院所举办的社康中心仅有两家(表1)。对比深圳市各区常住人口数据可以发现，社康中心在各区占比情况与各区常住人口占比情况大致相近，分布呈现基本均衡，其中宝安与龙华的社康中心占比小于常住人口占比的情况较明显(图1)。利用ArcGIS软件对所有社康中心定位，可以发现各区社康中心实际空间分布密度存在差异，各区内部也疏密有别(图2)。这种形态的形成是由于社康中心的设立按照街道进行，街道的密集程度直接影响了社康中心分布形态。而宝安和龙华两区则因其街道数量与人口数量之比较小，导致社康中心数量占比要明显小于常住人口占比。 </span></section><section style="line-height: normal;margin-left: 8px;margin-right: 8px;"><img class="rich_pages" data-ratio="0.29609375" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncrTtiadGB6F3RibAHW7ec7mqjtje6rKicQDov4ISia5kDORfaR6RoG85u2w/640?wx_fmt=jpeg" data-type="jpeg" data-w="1280" style="" /></section><section style="max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;margin-left: 8px;margin-right: 8px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 表1 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">深圳市各区社康中心分布情况统计 ｜ 单位：家</span></strong></section><section style="max-width: 100%;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: normal;margin-left: 8px;margin-right: 8px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Tab.1 </span><span style="color: rgb(136, 136, 136);font-size: 14px;letter-spacing: 0.544px;"></span><span style="color: rgb(136, 136, 136);font-size: 14px;letter-spacing: 0.544px;">Distribution of community health service centers in Shenzhen</span><span style="color: rgb(136, 136, 136);font-size: 14px;letter-spacing: 0.544px;">(unit:unit)</span></section><section style="max-width: 100%;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: normal;margin-left: 8px;margin-right: 8px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="letter-spacing: 0.544px;max-width: 100%;color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;text-align: left;box-sizing: border-box !important;overflow-wrap: break-word !important;">资料来源：</span><span style="letter-spacing: 0.544px;color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;text-align: left;"></span><span style="letter-spacing: 0.544px;color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;text-align: left;">深圳市卫生和计划生育委员会官方网站。</span></section><section style="max-width: 100%;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: normal;margin-bottom: 15px;margin-left: 8px;margin-right: 8px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: left;"></span></section><p style="margin-left: 8px;margin-right: 8px;line-height: normal;"><img class="rich_pages" data-ratio="0.43359375" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncVEPkiaQe8L94XnvqqicLUKn3vSswAPiaAKg2aicMBeL8uKdwRVaAqYBvSA/640?wx_fmt=jpeg" data-type="jpeg" data-w="1280" style="" /></p><p style="max-width: 100%;min-height: 1em;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 图1 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">各区常住人口数量与社康中心数量占全市比例对比</span></strong></p><p style="max-width: 100%;min-height: 1em;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Fig.1 </span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;"></span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;">Comparison between percentages of permanent residential population and community health service centers quantity of each district in the whole city</span></p><p style="margin-bottom: 20px;max-width: 100%;min-height: 1em;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: left;box-sizing: border-box !important;overflow-wrap: break-word !important;"></span><span style="max-width: 100%;color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: left;box-sizing: border-box !important;overflow-wrap: break-word !important;">资料来源：</span><span style="color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: left;"></span><span style="color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: left;">深圳市2013年统计年鉴。</span></p><p style="margin-left: 8px;margin-right: 8px;line-height: normal;"><img class="rich_pages" data-ratio="0.37578125" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUnclxGIqX6LNOJevToIlQtqHhhOIlr3hLRLbvEhtPQFEe4ztPOdZfAQIA/640?wx_fmt=jpeg" data-type="jpeg" data-w="1280" style="" /></p><p style="max-width: 100%;min-height: 1em;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 图2 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">深圳市地区健康服务中心分布</span></strong></p><p style="max-width: 100%;min-height: 1em;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Fig.2 </span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;"></span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;">Distribution of community health service centers in Shenzhen</span></p><section style="text-indent: 2em;line-height: 2em;margin: 20px 8px 15px;"><span style="font-size: 16px;">通过核密度分析(图3)更明显地看出，罗湖-福田、南山-宝安两片区域形成两个社康中心集中区，而各区中心区域也呈现一定的集中分布形态，总体上呈现老区多、新区少，中心密、边缘疏的空间分布特点。另外虽然深圳早在2011年就号称初步实现“社区15分钟医疗服务圈”，但目前除罗湖-福田、南山-宝安两片区域形成连续覆盖外，其他区的15min步行距离覆盖区域较为零散；若以30min步行距离为服务半径，则基本覆盖全部建筑密集区域；若以5min车行距离为服务范围，则可基本覆盖深圳市已有建成用地(图4)。造成上述现象，是由于城市中心区发展时间较长，街道划分细致，按当前布置方式社康中心会更密集；而中心区外，社康中心布置相对疏松，但随着城市发展，这些区域开始出现人口与社康中心数量失衡的情况。随着城市未来进一步发展，若是不能采取有效措施，可能使得这一矛盾继续扩大。</span><br /></section><p style="margin-left: 8px;margin-right: 8px;line-height: normal;"><img class="rich_pages" data-ratio="0.4005080440304826" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncxo9TgXH7oOKzp1eoqCwok5R9eKDEPu6yfW8jRjcxSwOsnWfibc2XQrQ/640?wx_fmt=jpeg" data-type="jpeg" data-w="1181" style="" /></p><p style="white-space: normal;max-width: 100%;min-height: 1em;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 图3 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">深圳市社康中心分布核密度分析</span></strong></p><section style="white-space: normal;max-width: 100%;min-height: 1em;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;margin-bottom: 20px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Fig.3 </span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;"></span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;">Kernel density analysis of community health service centers in Shenzhen</span></section><p style="margin-left: 8px;margin-right: 8px;line-height: normal;"><img class="rich_pages" data-ratio="0.39458086367485184" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncDwPL9mrSRgzHJw2giaoYuNeADTzoVHmZeCL1AYnOXgUcIp0TBWhajUw/640?wx_fmt=jpeg" data-type="jpeg" data-w="1181" style="" /></p><p style="white-space: normal;max-width: 100%;min-height: 1em;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 图4 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">深圳市社康中心服务范围分析</span></strong></p><p style="white-space: normal;max-width: 100%;min-height: 1em;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;margin-bottom: 5px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Fig.4 </span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;"></span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;">Service scope of community health service centers in Shenzhen</span></p><p style="margin-left: 8px;margin-right: 8px;"><br /></p><section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="overflow: hidden;box-sizing: border-box;margin-left: 8px;margin-right: 8px;"><section style="border-bottom: 1px solid rgb(192, 21, 21);display: inline-block;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.3;padding-right: 0.2em;padding-left: 0.2em;font-size: 22px;color: rgb(255, 255, 255);background-color: rgb(192, 21, 21);box-sizing: border-box;"><p style="box-sizing: border-box;">4</p></section><section style="display: inline-block;padding-right: 0.5em;padding-left: 0.5em;box-sizing: border-box;"><p style="box-sizing: border-box;"><span style="font-size: 17px;"><strong style="box-sizing: border-box;">配置均衡性分析</strong></span></p></section></section></section></section></section><section style="text-indent: 2em;margin: 15px 8px 10px;line-height: 2em;"><span style="font-size: 16px;">通过不同的所在区及举办单位性质可将深圳市所有社康中心分为21组，从中随机抽取21家社康中心进行实地调查，内容包括问卷调查和访谈负责人。在这21家社康中心中，在原特区内即南山、福田、罗湖、盐田四区的有11家，在原特区外即宝安、光明、龙华、龙岗、坪山、大鹏六区的有10家。从举办方性质区分，7家是由社会资本举办的，14家由公立医院举办，其中区属医院10家，市属医院3家，部队医院1家。由于部队医院仅举办有2家社康中心，因此根据其特性在具体分析中将其与市属医院举办的社康中心合并。在《深圳市社区健康服务机构分类标准》(以下简称《标准》)中从业务用房、功能单元设置、人员配置以及设备配置4个方面将社康中心分为3类，其中功能单元设置纳入服务分析，此章不再赘述。</span></section><section style="margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 5px;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">4.1 业务用房</span></strong></span></section><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">社康中心选址是由政府卫生行政部门在《深圳市医疗机构选址指导意见》的指导下决定的，由各举办单位组织建设。举办单位的不同会导致业务用房的租金来源差异，调查中7家社会资本举办社康中心表示其用房租金都由单位支付，而其他社康中心则有政府的专项补助。调查发现，同类社康中心社会资本举办的用房平均面积最大，这是由于社会资本举办的社康中心会设置在医院中以节约资金，导致其平均面积大于同类。而公立医院中区属医院举办的社康中心用房面积较大(表2)。</span></p><p style="text-align: center;margin-left: 8px;margin-right: 8px;line-height: normal;"><img class="rich_pages" data-ratio="0.2672566371681416" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUnczsdzNicAVEJcVvG77t7xu5NvP8PYlaGFGlbx8bBMt1UianeRuAav8qug/640?wx_fmt=jpeg" data-type="jpeg" data-w="1130" style="" /></p><p style="white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 表2 </span></strong><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">不同举办单位的三类社康中心业务用房面积情况</span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">｜ 单位：</span></strong><span style="font-size: 16px;"><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">m</span></strong></span><span style="color: rgb(0, 0, 0);font-family: Helvetica;-webkit-text-stroke-color: rgb(0, 0, 0);font-kerning: none;font-size: 16px;"><sup>2</sup></span></p><p style="white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);letter-spacing: 0.544px;text-align: justify;max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Tab.2 </span><span style="color: rgb(136, 136, 136);font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;">Statistics of housing area of 3 types of community health service centers by different organizers</span><span style="color: rgb(136, 136, 136);font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">(unit：m</span><span style="font-family: Helvetica;-webkit-text-stroke-color: rgb(0, 0, 0);font-kerning: none;color: rgb(136, 136, 136);font-size: 16px;"><sup>2</sup></span><span style="-webkit-text-stroke-color: rgb(0, 0, 0);color: rgb(136, 136, 136);font-size: 14px;letter-spacing: 0.544px;text-align: justify;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;">)</span></p><p style="white-space: normal;margin-left: 8px;margin-right: 8px;line-height: normal;"><span style="letter-spacing: 0.544px;color: rgb(136, 136, 136);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;text-align: left;"></span></p><p style="text-indent: 2em;margin: 10px 8px;line-height: 2em;"><span style="font-size: 16px;">当以所在区进行对比时，也可以发现其中存在的差别(表3)。调查中原特区外的一类社康中心用房面积平均要大于原特区内，而二类社康中心情况刚好相反，三类社康中心则基本相同。考虑到二类社康中心的数量要远大于其他两类，可以认为在用房面积这一指标中，原特区内情况要好于原特区外。造成这一情况的原因主要考虑有两点：首先，原特区内的医疗建设情况整体要好于原特区外地区；其次，原特区内对大型的社康中心需求较原特区外地区更少。</span></p><p style="margin-right: 8px;margin-left: 8px;white-space: normal;text-align: center;line-height: normal;"><img class="rich_pages" data-ratio="0.25686448184233834" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncRSlGTysH9WMmqFAzoFRibrhaoGOUw6AcAOIT1fIuhatjxUiakxTjE1KQ/640?wx_fmt=jpeg" data-type="jpeg" data-w="1129" /></p><p style="margin-right: 8px;margin-left: 8px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 表3 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">原特区内外三类社康中心业务用房平均面积</span></strong><span style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;"></span><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">｜ 单位：</span></strong><span style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;font-size: 16px;"><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">m</span></strong></span><span style="letter-spacing: 0.544px;color: rgb(0, 0, 0);font-family: Helvetica;-webkit-text-stroke-color: rgb(0, 0, 0);font-kerning: none;font-size: 16px;"><sup>2</sup></span></p><section style="margin-right: 8px;margin-bottom: 20px;margin-left: 8px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);letter-spacing: 0.544px;text-align: justify;max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Tab.3 </span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">Statistics of housing area of 3 types of community health service centers inside and outside the original special economic zone</span><span style="color: rgb(136, 136, 136);font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">(unit：m</span><span style="color: rgb(136, 136, 136);letter-spacing: 0.544px;-webkit-text-stroke-color: rgb(0, 0, 0);font-family: Helvetica;font-kerning: none;font-size: 16px;"><sup>2</sup></span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">)</span></section><p style="margin-right: 8px;margin-left: 8px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;margin-bottom: 5px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="letter-spacing: 0.544px;font-size: 16px;text-indent: 0em;text-align: justify;max-width: 100%;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">4.2 设备配置</span></strong></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">通过收集21家社康中心的详细设备数据，统计了诊疗、辅助检查及预防保健等三大分类设置在医院内部主要负责儿童疫苗注射的社康中心外，其余的配置水平都达到《标准》中对三类社区社康中心的要求；大多数二类社康中心的设备配置水平也满足《标准》的要求，部分已接近一类社康中心要求，也有部分尚未满足要求；而大多一类社康中心却基本没能达到《标准》要求。调查还发现举办单位对社康中心的设备配置存在一定影响，数据显示同类社康中心中，由市属公立医院举办则设备配置要略优于由区属公立医院举办，而社会资本举办的社康中心设备配置较之两者有较大差距(表4)。配置差距主要出现在如电解质分析仪、心电除颤仪、多功能监护仪等昂贵设备上。</span></p><p style="margin-right: 8px;margin-left: 8px;white-space: normal;text-align: center;line-height: normal;"><img class="rich_pages" data-ratio="0.5602836879432624" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUnc30oxQicWTod3icOB9dQFuHticrVSbhibpJicqsg20p8rwtzX8DVSnq26Zhw/640?wx_fmt=jpeg" data-type="jpeg" data-w="1128" /></p><p style="margin-right: 8px;margin-left: 8px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 表4 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">不同举办单位的三类社康中心设备情况</span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">｜ 单位：</span><span style="max-width: 100%;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;">种</span></strong><span style="letter-spacing: 0.544px;color: rgb(0, 0, 0);font-family: Helvetica;-webkit-text-stroke-color: rgb(0, 0, 0);font-kerning: none;font-size: 16px;"></span></p><p style="margin-right: 8px;margin-bottom: 20px;margin-left: 8px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);letter-spacing: 0.544px;text-align: justify;max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Tab.4 </span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">Statistics of equipment in community health service centers by different organ </span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">izers</span><span style="color: rgb(136, 136, 136);font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">(unit：type</span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">)</span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">另一方面，原特区内外的社康中心的设备配置上也存在部分差异，从调查结果来看，原特区内的社康中心情况略优(表5)。</span></p><section style="text-align: center;margin-left: 8px;margin-right: 8px;line-height: normal;"><img class="rich_pages" data-ratio="0.6215704824976348" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncc9Yib5u3PvIzZMXtvic3rDQ3oZ5nfsDln79gUHCbLic2WoM5M12Scvjvg/640?wx_fmt=jpeg" data-type="jpeg" data-w="1057" style="" /></section><section style="white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 表5 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">原特区内外社康中心平均设备数量统计</span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">｜ 单位：</span><span style="max-width: 100%;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;">种</span></strong></section><section style="margin-bottom: 20px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);letter-spacing: 0.544px;text-align: justify;max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Tab.5 </span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);"></span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">Statistics of average quantity of equipment in community health service centers inside and outside the original special economic zone (unit:type)</span></section><p style="margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 5px;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">4.3 人员配置</span></strong></span><br /></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">《标准》中对各类社康中心医护人员数量有具体规定，调查中的大部分社康中心都达到了《标准》的要求。在比较中发现，社会资本与公立医院举办的同类社康中心在人员配置上没有明显区别，公立医院中区属医院举办的社康中心人员配置略优(表6)。</span></p><p style="text-align: center;margin-left: 8px;margin-right: 8px;line-height: normal;"><img class="rich_pages" data-ratio="0.6663507109004739" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncria6cSzickIRsot9NWmJQoT2NfxYgvWicARyoTOATicjU6UhkR2txAy5mg/640?wx_fmt=jpeg" data-type="jpeg" data-w="1055" style="" /></p><p style="white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 表6 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">不同举办单位社康中心人员数量统计</span></strong><span style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;"></span><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">｜ 单位：</span><span style="max-width: 100%;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;">人</span></strong></p><p style="margin-bottom: 20px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);letter-spacing: 0.544px;text-align: justify;max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Tab.6 </span><span style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;color: rgb(136, 136, 136);font-size: 14px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">Staffs in community health service centers by different organizers</span><span style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;color: rgb(136, 136, 136);font-size: 14px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">(unit:person)</span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">在不同区之间的对比中，发现与业务用房面积的对比结果较为相似(表7)，因此考虑其主要影响因素大致有两点：首先是原特区内的医疗资源丰富，医护人员总体数量较多；其次，原特区外的部分医疗资源紧缺地区所设立的大型社康中心需要较多的医护人员。</span></p><section style="margin-right: 8px;margin-left: 8px;white-space: normal;text-align: center;line-height: normal;"><img class="rich_pages" data-ratio="0.6227488151658768" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUnc7epzAjZMXq9CPJSjVCJsLkwKCibhgib7P0BHmia68MxVra8wp4aZYyfdg/640?wx_fmt=jpeg" data-type="jpeg" data-w="1055" /></section><section style="margin-right: 8px;margin-left: 8px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 表7 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">原特区内外三类社康中心人员数量统计</span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">｜ 单位：</span><span style="max-width: 100%;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;font-size: 16px;box-sizing: border-box !important;overflow-wrap: break-word !important;">人</span></strong></section><section style="margin-right: 8px;margin-bottom: 20px;margin-left: 8px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);letter-spacing: 0.544px;text-align: justify;max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Tab.7 </span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);"></span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">Statistics of staff of 3 types of community health service centers inside and outside the original special economic zone</span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">(unit:person)</span></section><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">还有两点值得注意，一方面《标准》中只规定医护人员数量的下限，并未设置弹性变化，而社康中心往往会面对数量巨大的居民群体，因此人手不足问题存在于多数社康中心，而且流动人口较多地区尤为明显。如宝安区一家一类社康中心，尽管其医师数量达13人，超出标准要求两倍，年诊疗能力达到20万人次，但其服务范围内有多家工厂，每年与其绑定10万名劳务工，平均每人每年只能接受两次诊疗。另一方面，全科医生数量不足一直是限制社康中心发展的消极因素，目前多数社康中心中的全科医生是专科医生通过转岗培训后担任的，因此各社康中心存在全科诊疗能力参差不齐的问题。</span></p><section style="margin-left: 8px;margin-right: 8px;"><br /></section><section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="overflow: hidden;box-sizing: border-box;margin-left: 8px;margin-right: 8px;"><section style="border-bottom: 1px solid rgb(192, 21, 21);display: inline-block;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.3;padding-right: 0.2em;padding-left: 0.2em;font-size: 22px;color: rgb(255, 255, 255);background-color: rgb(192, 21, 21);box-sizing: border-box;"><p style="box-sizing: border-box;">5</p></section><section style="display: inline-block;padding-right: 0.5em;padding-left: 0.5em;box-sizing: border-box;"><p style="box-sizing: border-box;"><span style="font-size: 17px;"><strong style="box-sizing: border-box;">服务均衡性分析</strong></span></p></section></section></section></section></section><p style="margin: 10px 8px 5px;line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">5.1 诊疗科目</span></strong></span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">《深圳市社区健康服务机构分类管理办法》和《标准》中对社康中心的科室设置做出了规定。调查发现，公立医院举办的社康中心科室设置相对齐全，而原特区内外的诊疗科目设置也存在一些差别，原特区内社康中心设置科目平均略多(表8)。</span></p><p style="text-align: center;margin-left: 8px;margin-right: 8px;line-height: normal;"><img class="rich_pages" data-ratio="0.1668145519077196" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncWyX64IL73SHzokVWA1zXZOUrwcDD6VZ7hyfZRM0iaYrKxw1TY9Qf6Uw/640?wx_fmt=jpeg" data-type="jpeg" data-w="1127" style="" /></p><p style="white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 表8 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">原特区内外不同举办单位的社康中心科目设置情况</span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">｜ 单位：项</span></strong></p><p style="margin-bottom: 20px;white-space: normal;max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;min-height: 1em;background-color: rgb(255, 255, 255);text-align: left;margin-left: 8px;margin-right: 8px;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);letter-spacing: 0.544px;text-align: justify;max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Tab.8 </span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);"></span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">Items of community health service centers by different organizers</span><span style="color: rgb(136, 136, 136);font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;text-align: justify;-webkit-text-stroke-color: rgb(0, 0, 0);">(unit:item)</span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">从调查结果来看，一方面多数社康中心科室设立都有缺失，多个中心负责人表示人手不足以建立完备的科室，甚至在福田区的一家社康中心内还出现了经常性只有一位医生坐诊的情况。另一方面，即使完善了科室，但由于技术设备不足以及患者的信任度低，部分科目依然难以展开相应工作。因此，虽然在诊疗科目设置上存在着一定的不均衡，但当务之急是提升全体社康中心诊疗能力。</span><br /></p><p style="margin: 10px 8px 5px;line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">5.2 就诊情况</span></strong></span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">在就社区居民是否愿意在社康中心就诊以及影响因素的问题问及社康中心负责人时，多数表示其社区内居民愿意在中心就诊，原因主要有4条：首先，住院医保、劳务工医保等非综合医保持有者必须到绑定的社康中心就诊才能享受医保优惠，这使其成为以来深建设者为代表的人群就诊的第一选择。其次，小病和康复期患者愿意在社康中心接受治疗以减少路程及排队时间。再次，社康中心由正规医院举办，病人较为放心。最后，社康中心的服务态度和诊疗价格都有优势，令病人乐于选择。</span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">然而并非所有市民都愿意在社康中心就诊，如龙岗一家社会资本举办的社康中心负责人曾表示，其社区内大部分中青年及儿童在患病时，首选是附近福田区内的市属公立医院。因为这部分人群不受医保绑定限制，而且他们对原特区内的医疗资源和环境更为信任。</span></p><section style="margin: 10px 8px 5px;line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">5.3 双向转诊</span></strong></span></section><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">政府为保障“小病在社区、大病进医院、康复回社康”的医疗模式制定了“社区首诊”和“双向转诊”制度。社区首诊通过广泛布点、提高质量、绑定医保等方式初步获得良好效果，分担了医院的压力。但完善医疗系统网络，保证医疗资源利用公平、合理及效果最大化，则需要借助“双向转诊”制度。在《深圳市社康中心与医院双向转诊管理办法》中，市政府提出知情选择、分级管理、综合权衡、资源共享和无缝式医疗管理5条原则以保障制度运作，然而访谈询问有关双向转诊的情况后，发现了两大影响公平的因素。</span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">首先，非综合医保持有人群需要在某一社康中心绑定医保，当有医疗需求时必须到该社康中心方可享受医保优惠，若在其他社康中心或医院接受诊疗则无法享受优惠。这一制度导致了这部分人群会因职住分离等问题而求诊不便。其次，当患者因病情需要转诊时，必须上转到该社康中心的管理医院，而要转到其他医院时须从该医院转出，进入康复期后也必须通过该医院转回社康中心。单一的转诊通道不仅影响医疗系统运行效率、延误病人治疗时间，还会导致因管理医院差异而产生的医疗服务不均衡。</span></p><section style="margin-left: 8px;margin-right: 8px;"><br /></section><section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="overflow: hidden;box-sizing: border-box;margin-left: 8px;margin-right: 8px;"><section style="border-bottom: 1px solid rgb(192, 21, 21);display: inline-block;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.3;padding-right: 0.2em;padding-left: 0.2em;font-size: 22px;color: rgb(255, 255, 255);background-color: rgb(192, 21, 21);box-sizing: border-box;"><p style="box-sizing: border-box;">6</p></section><section style="display: inline-block;padding-right: 0.5em;padding-left: 0.5em;box-sizing: border-box;"><p style="box-sizing: border-box;"><span style="font-size: 17px;"><strong style="box-sizing: border-box;">总结与讨论</strong></span></p></section></section></section></section></section><section style="text-indent: 2em;margin: 15px 8px 10px;line-height: 2em;"><span style="font-size: 16px;">综上所述，深圳市社康中心的均衡性建设仍有许多不足，在空间分布、设施配置、医疗服务上呈现发展不平衡态势，而举办单位和分区差异是重要原因。另一方面，医保等相关政策加重了医疗服务的不均衡。</span></section><section style="margin: 10px 8px 5px;line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">6.1 统一管理权</span></strong></span></section><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">根据《深圳市完善社区健康服务管理体制工作方案》，深圳社康中心实行“院办院管”制度，形成区“卫生行政部门——举办医院——医院社区健康服务管理中心——社康中心”的组织管理体系，这种管理方式在早期通过借助医院资源建设社区医疗卫生服务取得了良好效果。然而仍存在两个问题：首先，社康中心的最高管理机构是区政府，无法在全市范围统筹协调，会造成各区社康中心存在发展程度不一。市级政府应负起监管责任，从全市角度统筹发展，解决各区间社康中心发展不协调问题。第二，《国务院关于发展城市社区卫生服务的指导意见》中明确提出：“地方政府要加强对社区卫生服务发展工作的领导”，然而实际管理方——医院却基本主持社康中心一切事务。社康中心源于20世纪50年代医院所设立的卫生站，进入21世纪后政府投入大量资金、人力将社区医疗卫生逐步提升到更高层面[16]，而运营方式却一直保持“院办院管”。随着基础医疗卫生地位以及市民需求的提高，医院的管理逐渐成为限制因素。理论上社康中心承担基础医疗卫生功能，地位与医院相仿，但无形中却成为医院附属单位，加之其公益性质不能创收甚至会产生亏损，各医院对其态度不一，导致各社康中心间建设水平产生差距。因此政府应收回社康中心管理权，通过统一管理消除差异，合理调整医疗资源配置，使社康中心切实承担起基础医疗卫生职能。</span></p><p style="margin: 10px 8px 5px;line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">6.2 建立统一平台</span></strong></span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">除管理分散外，社康中心建设还存在缺乏联系的问题。目前情况是政府部门难以与基层机构直接沟通，举办单位各行其是，各机构间交流有限，民众诉求无处表达。因此政府卫生行政部门在收回社康中心管理权的同时，还应建立统一的医疗卫生系统平台，将政府部门、卫生机构、相关社会组织及普通市民纳入其中。通过该平台政府可进行直接管理，各机构间可以加强交流，市民则可以接受服务和表达诉求。</span></p><p style="margin: 10px 8px 5px;line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">6.3 加强各机构间联系</span></strong></span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">影响社康中心均衡性的另一重大因素是机构间的缺乏联系，其根源在于医疗卫生体系结构不完善。2006年全国城市社区工作会议中提出，大力发展社区卫生服务机构是为了平衡医疗资源向医院集中，保障基层卫生资源配置[17]。社康中心与医院分别承担基础和上层医疗卫生职责，两者应保持紧密联系，构成医疗卫生体系网络，医疗资源和患者可在综合医院、专科医院及社康中心间自由流动(图5)。然而“重覆盖、轻联系”与三级医疗服务体系的思想残留，以及分散管理的现象，致使现有医疗卫生体系呈现层级单向传递结构(图6)。医疗资源和患者的移动能力受到限制，具体表现为一家医院医疗资源无法向其他医院管理的社康中心转移，导致社康中心无法及时获得先进技术支持，而患者也无法及时转往最适合的医院。不但造成浪费与滞后，还加重了医疗资源分配不均。</span></p><p><img class="rich_pages" data-ratio="0.5189456342668863" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncJj0EliciaKt9B4efYxgtUXpniaP4UPaxN0usicJaoKVUPv1G8mEA2zYiamw/640?wx_fmt=jpeg" data-type="jpeg" data-w="1214" style="" /></p><p style="margin-right: 8px;margin-left: 8px;white-space: normal;max-width: 100%;min-height: 1em;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 图5 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">理想医疗卫生体系网络结构形态</span></strong></p><p style="margin-right: 8px;margin-bottom: 5px;margin-left: 8px;white-space: normal;max-width: 100%;min-height: 1em;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Fig.5 </span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;"></span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;">Ideal structure of medical and health system</span></p><p><img class="rich_pages" data-ratio="0.556045895851721" data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRjYKaJSY5DNicgHOE61FbUncVicpJGTPEY7Oa1gDtj1m85vQMfhWEXbjib4EPicic3kYxbe8jPRU70D3DA/640?wx_fmt=jpeg" data-type="jpeg" data-w="1133" style="" /></p><p style="margin-right: 8px;margin-left: 8px;white-space: normal;max-width: 100%;min-height: 1em;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;color: rgb(214, 0, 74);box-sizing: border-box !important;overflow-wrap: break-word !important;">▲</span><strong style="max-width: 100%;letter-spacing: 0.544px;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;"> 图6 </span></strong><strong style="font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;max-width: 100%;text-align: justify;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;background-image: initial;background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;box-sizing: border-box !important;overflow-wrap: break-word !important;">现状医疗卫生体系网络结构形态</span></strong></p><p style="margin-right: 8px;margin-bottom: 5px;margin-left: 8px;white-space: normal;max-width: 100%;min-height: 1em;font-family: -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: left;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;">Fig.6 </span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;"></span><span style="color: rgb(136, 136, 136);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 14px;letter-spacing: 0.544px;">Status quo structure of medical and health system</span></p><section style="text-indent: 2em;margin: 20px 8px 10px;line-height: 2em;"><span style="font-size: 16px;">政府回收管理权后，社康中心与医院须密切合作，借助统一平台深入交流。首先应将居民健康档案系统与医院病历系统合并，借助云计算技术提升灵活性，为居民提供方便的同时节约医疗资源；其次完善转诊程序，实现社康中心与全市医院无缝对接；最后还可通过利用科技手段实现远程医疗援助，提升社区医疗服务能力。同时社康中心也应积极加强自身能力，与医院形成良性竞争和优势互补。</span></section><p style="margin: 10px 8px 5px;line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">6.4 加快医疗卫生制度创新</span></strong></span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">实现社康中心均衡发展除了技术与管理，还需要完善的政策保障。由于历史原因，我国医疗卫生发展较为落后，社康中心相关规范制度仍不完善，这对社康中心建设发展有一定的消极作用。如深圳市社康中心建设相关指导文件中所提出的基本是刚性要求，缺乏可操作的弹性设置，使社康中心不能很好地适应不同环境，如宝安区的社康中心就未能根据人口合理调整医护人员数量。同时监管机制的缺失，绩效考评的奖励与惩罚措施不足，使社康中心缺少提升动力，而医保等相关政策中也存在不利于社会公平的因素。只有与社康中心建设齐头并进的制度才能发挥指导作用，必须不断完善规范、提高要求，通过设立有效的激励机制，鼓励市民、医生在社康中心就医就职，鼓励医院加强对社康中心的支持。另外，医保政策应体现公平性，保证所有人群获取医疗服务的能力。</span></p><p style="margin: 10px 8px 5px;line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;"><strong style="max-width: 100%;letter-spacing: 0.544px;text-indent: 0em;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;font-family: 微软雅黑;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">6.5 医疗卫生规划优先</span></strong></span></p><p style="text-indent: 2em;margin-left: 8px;margin-right: 8px;line-height: 2em;margin-bottom: 10px;"><span style="font-size: 16px;">中国健康城市运动开始于1989年，然而如今规划界在医疗卫生方面的工作仍显不足，相关规划编制往往难以落实。现实中绝大部分社区未对社康中心的位置、规模做出合理规划，以致绝大部分社康中心用房需要租赁，且难以实现合理的面积及选址。许多社康中心负责人都表示社康中心有发展的必要与愿望，但业务用房是重大制约。因此今后规划中不仅要在总体规划层面完善 “城市——社区”的医疗卫生网络布局，明确需求与目标[12]，还要在社区规划中优先考虑医疗卫生功能，与交通、居住、教育、商业等统筹协调，实现基础设施先行，提升社区生活质量。</span></p><section style="margin-left: 8px;margin-right: 8px;"><br /></section><section style="box-sizing: border-box;font-size: 16px;"><section style="box-sizing: border-box;" powered-by="gulangu"><section style="overflow: hidden;box-sizing: border-box;margin-left: 8px;margin-right: 8px;"><section style="border-bottom: 1px solid rgb(192, 21, 21);display: inline-block;box-sizing: border-box;"><section style="display: inline-block;line-height: 1.3;padding-right: 0.2em;padding-left: 0.2em;font-size: 22px;color: rgb(255, 255, 255);background-color: rgb(192, 21, 21);box-sizing: border-box;"><p style="box-sizing: border-box;">7</p></section><section style="display: inline-block;padding-right: 0.5em;padding-left: 0.5em;box-sizing: border-box;"><p style="box-sizing: border-box;"><span style="font-size: 17px;"><strong style="box-sizing: border-box;">结语</strong></span></p></section></section></section></section></section><p style="margin: 15px 8px 10px;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;">社康中心发展中产生问题的根源在于发展思想的停滞，要令社区医疗卫生事业高速发展，必须以先进思想推动深化改革。智慧城市是近年新兴的发展思想，归纳其核心思想有3点：联系、创新、可持续。联系是指通过物联网、云技术等信息应用增加联系渠道。创新包括科技和制度的创新，促进用户创新、开放创新、大众创新、协同创新[18]。可持续意味着智慧城市是可生长的，其包容并蓄的特点令它始终能指导未来发展方向。本文基于智慧城市核心思想，针对实际问题进行分析和提出建议，使均衡性研究不但有空间实体设计，还通过物联网及信息系统整合使医疗卫生资源快速流动，形成高效、均衡的医疗卫生网络，使医疗卫生建设紧随城市发展步伐，为其保驾护航。</span></p><p style="line-height: 2em;text-indent: 2em;margin-left: 8px;margin-right: 8px;margin-bottom: 20px;"><span style="font-size: 16px;">当前中国面临着发展关键时期，要避免陷入中等收入陷阱就必须进行全面深化改革，促进公平发展、创新发展，全面提升劳动力的生存和进步能力。政府应从公共利益角度主导社会的发展，不遗余力地提升公共服务、保障社会公平，必须加大投入，及早建立完善的医疗卫生体系以适应城市发展，推动中国稳步前行。</span></p><section style="margin-top: 0em;padding: 1em 0em;max-width: 100%;font-size: 1em;letter-spacing: 0.544px;text-align: center;border-top: 1px dashed rgb(204, 204, 204);border-bottom: 1px dashed rgb(204, 204, 204);box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="margin-right: 8px;margin-bottom: 10px;margin-left: 8px;max-width: 100%;min-height: 1em;text-indent: 0em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">参考文献</strong></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">1 林兰，夏荣雪. 提高市区基本公共服务均等化水平的方式研究[J]. 财政监督，2013(3):61-62.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">LIN Lan，XIA Rongxue. Research on the Way to Improve the Level of Equalization of Urban Basic Public Services[J]. Cai Zheng Jian Du，2013(3):61-62.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">2 马向明. 健康城市与城市规划[J]. 城市规划，2014，38(3):53-55.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">MA Xiangming. Healthy City and Urban Planning[J]. City Planning Review，2014，38(3):53-55.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">3 郑大喜. 新医改形势下公立医院适宜规模的经济学分析[J]. 现代医院管理，2010，8(1):9-11.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">ZHENG Daxi. The Economic Analysis of Appropriate Sizes in Public Hospitals under the New Situation of Medical Reform[J]. Modern Hospital Management，2010，8(1):9-11.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">4 林伟鹏，闫整. 医疗卫生体系改革与城市医疗卫生设施规划[J]. 城市规划，2006(4):47-50.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">LIN Weipeng，YAN Zheng. Reform of Sanitation System and Planning of Urban Sanitation Facilities[J]. City Planning Review，2006(4):47-50.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">5 罗乐宣. 深圳市社区卫生服务现状、模式与发展[J]. 中国全科医学，2010，13(13):1377-1378.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">LUO Lexuan. Current Situation，Mode and Development of Community Health Service in Shenzhen[J]. Chinese General Practice，2010，13(13):1377-1378.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">6 陈阳，宋晶晶，林小虎. 南京市城乡医疗卫生设施规划研究[J]. 规划师，2013，29(9):83-88.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">CHEN Yang，SONG Jingjing，LIN Xiaohu. Nanjing Urban-Rural Medical Facilities Planning[J]. Planners，2013，29(9):83-88.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">7 陈洁，杜雪平. 不同级别医院举办的社区卫生服务机构开展健康教育的现状研究[J]. 中国全科医学，2010，13(25):2794-2797.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">CHEN Jie，DU Xueping. Present Status of Health Education Conducted by Community Health Service Institutions from Different Leveled Hospitals[J]. Chinese General Practice，2010，13(25):2794-2797.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">8 李芳健，周红伟，黄青林，等. 广州市某区12家社区卫生服务机构满意度调查分析[J]. 中华全科医学，2008(9):955-956.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">LI Fangjian，ZHOU Hongwei，HUANG Qinglin，et al. Investigation of Satisfaction Degree to Community Health Services in 12 Community Health Organizations in Guangzhou[J]. Chinese Journal of General Practice，2008(9):955-956.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">9 汪志宏，王云霞，王芳，等. 不同举办主体的社区卫生服务机构满意度分析[J]. 中国全科医学，2009，12(1):75-76.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">WANG Zhihong，WANG Yunxia，WANG Fang，et al. Analysis on Satisfaction to Community Health Service Institutions by Different Holders[J]. Chinese General Practice，2009，12(1):75-76.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">10 宋正娜，陈雯. 基于潜能模型的医疗设施空间可达性评价方法[J]. 地理科学进展，2009，28(6):848-854.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">SONG Zhengna，CHEN Wen. Measuring Spatial Accessibility to Health Care Facilities Based on Potential Model[J]. Progress in Geography，2009，28(6):848-854.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">11 李晓惠，卢祖询. 深圳社区卫生服务资源配置公平程度现状分析[J]. 中国卫生统计，2007(5):516-518.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">LI Xiaohui，LU Zuxun. Analysis on the Equity of Community Health Service Resources Allocation in Shenzhen[J]. Chinese Journal of Health Statistics，2007(5):516-518.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">12 余珂，刘云亚，易晓峰，等. 城市医疗卫生设施布局规划编制研究——以广州市为例[J]. 规划师，2010，26(6):35-39.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">YU Ke，LIU Yunya，YI Xiaofeng，et al. Urban Planning for a Medical Services Network in Guangzhou[J]. Planners，2010，26(6):35-39.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">13 陈超. 城市社区卫生服务中心患者满意度调查[J]. 社区医学杂志，2013，11(10):52-54.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">CHEN Chao. Satisfaction Survey of Patients in Urban Community Health Service Center[J]. Journal of Community Medicine，2013，11(10):52-54.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">14 练坚贞，甘达强. 深圳社区慢病综合防治成效分析[J]. 职业与健康，2005(12):21-23.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">LIAN Jianzhen，GAN Daqiang. Effect of Comprehensive Prevention and Treatment of Chronic Diseases in Shenzhen Communities[J]. Occupation and Health，2005(12):21-23.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">15 徐嘉亿，李玉敏，赵晓玲，等. 社区居家养老医疗服务需求分析[J]. 现代医院，2011，11(2):151-152.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">XU Jiayi，LI Yumin，ZHAO Xiaoling，et al. Analysis of the Medical Service Demand in Community Home Provide for the Aged[J]. Modern Hospital，2011，11(2):151-152.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">16 黄燕，王倩，李昌琪. 我国社区卫生服务的发展、现状及存在问题[J]. 现代生物医学进展，2010(14):2795-2800.</span></p><section style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">HUANG Yan，WANG Qian，LI Changqi. The Development，Current Situation and Problems of the Community Health Services in China[J]. Progress in Modern Biomedicine，2010(14):2795-2800.</span></section><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">17 本刊编辑部. 统一思想 创新机制 积极推进城市社区卫生服务发展——吴仪副总理在全国城市社区卫生工作会议上的讲话(摘要)[J]. 中国护理管理，2006(5):5-6.</span></p><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;margin-bottom: 10px;"><span style="font-size: 14px;">Editorial Department of Chinese Nursing Management. Seeking Unity of Thinking and Innovating Mechanism to Promote the Development of Urban Community Health Service Actively: Speech by Vice Premier WU Yi at the National Conference on Urban Community Health[J]. Chinese Nursing Management, 2006(5):5-6.</span></p><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">18 黄天航，刘瑞霖，党安荣. 智慧城市发展与低碳经济[J]. 北京规划建设，2011(2):39-44.</span></p><p style="text-align: left;margin-left: 8px;margin-right: 8px;line-height: 1.75em;"><span style="font-size: 14px;">HUANG Tianhang，LIU Ruilin，DANG Anrong. Smart City Development and Low Carbon Economy[J]. Beijing Planning Review，2011(2):39-44.</span></p></section><p><br /></p><hr style="max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;border-style: solid;border-right-width: 0px;border-bottom-width: 0px;border-left-width: 0px;border-color: rgba(0, 0, 0, 0.1);transform-origin: 0px 0px;transform: scale(1, 0.5);box-sizing: border-box !important;overflow-wrap: break-word !important;" /><p style="margin-top: 15px;margin-bottom: 10px;max-width: 100%;min-height: 1em;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 15px;box-sizing: border-box !important;overflow-wrap: break-word !important;">欢迎在朋友圈转发，转载请在后台留言</span></strong></span></p><hr style="max-width: 100%;font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.544px;border-style: solid;border-right-width: 0px;border-bottom-width: 0px;border-left-width: 0px;border-color: rgba(0, 0, 0, 0.1);transform-origin: 0px 0px;transform: scale(1, 0.5);box-sizing: border-box !important;overflow-wrap: break-word !important;" /><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br /></p><section style="margin-right: 8px;margin-bottom: 10px;margin-left: 8px;max-width: 100%;min-height: 1em;letter-spacing: 0.544px;text-align: center;box-sizing: border-box !important;overflow-wrap: break-word !important;"><img class="rich_pages" data-ratio="1.346875" data-s="300,640" data-type="jpeg" data-w="1280" src="http://mmbiz.qpic.cn/mmbiz_jpg/SdNVtxmtcRiaPv4ciaCyNzygzKmXu3SVAgScLIbDXxG5sL3msicfZOTiaL10dowKGNsOnEichr5AOUjnecMXUaG680Q/640?wx_fmt=jpeg" style="letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 677px !important;" /></section><section style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section powered-by="gulangu" style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section powered-by="gulangu" style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;font-size: 16px;overflow-wrap: break-word !important;"><section powered-by="gulangu" style="max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;"><section style="margin-bottom: -1px;padding-right: 12px;padding-left: 12px;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;border-bottom: 1px solid rgb(192, 21, 21);border-top-color: rgb(192, 21, 21);border-right-color: rgb(192, 21, 21);border-left-color: rgb(192, 21, 21);height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section></section><section style="max-width: 100%;box-sizing: border-box;float: left;width: 16px;overflow-wrap: break-word !important;"><section style="margin-bottom: 4px;max-width: 100%;box-sizing: border-box;width: 0px;border-width: 4px;border-style: solid;border-color: rgb(192, 21, 21) transparent transparent rgb(192, 21, 21);height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section><section style="max-width: 100%;box-sizing: border-box;border-bottom: 1px solid rgb(192, 21, 21);width: 16px;transform: rotate(-45deg);transform-origin: left top;border-top-color: rgb(192, 21, 21);border-right-color: rgb(192, 21, 21);border-left-color: rgb(192, 21, 21);height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section></section><section style="max-width: 100%;box-sizing: border-box;float: right;width: 16px;text-align: right;overflow-wrap: break-word !important;"><section style="margin-bottom: 4px;margin-left: auto;max-width: 100%;box-sizing: border-box;width: 0px;border-width: 4px;border-style: solid;border-color: rgb(192, 21, 21) rgb(192, 21, 21) transparent transparent;height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section><section style="max-width: 100%;box-sizing: border-box;border-bottom: 1px solid rgb(192, 21, 21);width: 16px;transform: rotate(45deg);transform-origin: right top;border-top-color: rgb(192, 21, 21);border-right-color: rgb(192, 21, 21);border-left-color: rgb(192, 21, 21);height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section></section><section style="max-width: 100%;box-sizing: border-box;clear: both;height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section></section><section style="padding-right: 10px;padding-left: 10px;max-width: 100%;box-sizing: border-box;border-left: 1px solid rgb(192, 21, 21);border-right: 1px solid rgb(192, 21, 21);border-top-color: rgb(192, 21, 21);border-bottom-color: rgb(192, 21, 21);overflow-wrap: break-word !important;"><section powered-by="gulangu" style="max-width: 100%;box-sizing: border-box;text-align: center;overflow-wrap: break-word !important;"><p style="margin: 5px 8px;max-width: 100%;box-sizing: border-box;min-height: 1em;font-size: 15px;text-align: left;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(171, 25, 66);"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">官方投稿网址</strong></span>：http://www.planning.com.cn</span></p><section style="margin-right: 8px;margin-bottom: 5px;margin-left: 8px;max-width: 100%;box-sizing: border-box;font-size: 15px;text-align: left;min-height: 1em;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(171, 25, 66);"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">微博</span></strong></span>：http://weibo.com/cityplanningreview</span></section><section style="margin-right: 8px;margin-bottom: 5px;margin-left: 8px;max-width: 100%;box-sizing: border-box;font-size: 15px;text-align: left;min-height: 1em;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(171, 25, 66);"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">微信号</span></strong></span>：chengshiguihuazazhi</span></section><section style="margin-right: 8px;margin-bottom: 5px;margin-left: 8px;max-width: 100%;box-sizing: border-box;font-size: 15px;text-align: left;min-height: 1em;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(171, 25, 66);"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">电子期刊</span></strong></span>：App Store搜索“城市规划”(支持iPad下载)</span></section><section style="margin-right: 8px;margin-bottom: 5px;margin-left: 8px;max-width: 100%;box-sizing: border-box;font-size: 15px;text-align: left;min-height: 1em;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(171, 25, 66);"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">国内统一刊号</span></strong></span>：CN 11-2378/TU</span></section><section style="margin-right: 8px;margin-bottom: 5px;margin-left: 8px;max-width: 100%;box-sizing: border-box;font-size: 15px;text-align: left;min-height: 1em;overflow-wrap: break-word !important;"><span style="max-width: 100%;font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(171, 25, 66);"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">国际标准刊号</span></strong></span>：ISSN 1002-1329</span></section></section></section><section style="max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;float: left;width: 16px;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;border-bottom: 1px solid rgb(192, 21, 21);width: 16px;transform: rotate(45deg);transform-origin: left bottom;border-top-color: rgb(192, 21, 21);border-right-color: rgb(192, 21, 21);border-left-color: rgb(192, 21, 21);height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section><section style="margin-top: 4px;max-width: 100%;box-sizing: border-box;width: 0px;border-width: 4px;border-style: solid;border-color: transparent transparent rgb(192, 21, 21) rgb(192, 21, 21);height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section></section><section style="max-width: 100%;box-sizing: border-box;float: right;width: 16px;text-align: right;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;border-bottom: 1px solid rgb(192, 21, 21);width: 16px;transform: rotate(-45deg);transform-origin: right bottom;border-top-color: rgb(192, 21, 21);border-right-color: rgb(192, 21, 21);border-left-color: rgb(192, 21, 21);height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section><section style="margin-top: 4px;margin-left: auto;max-width: 100%;box-sizing: border-box;width: 0px;border-width: 4px;border-style: solid;border-color: transparent rgb(192, 21, 21) rgb(192, 21, 21) transparent;height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section></section><section style="max-width: 100%;box-sizing: border-box;clear: both;height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section><section style="margin-top: -1px;padding-right: 12px;padding-left: 12px;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;border-bottom: 1px solid rgb(192, 21, 21);border-top-color: rgb(192, 21, 21);border-right-color: rgb(192, 21, 21);border-left-color: rgb(192, 21, 21);height: 0px;line-height: 0;overflow-wrap: break-word !important;"><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;" /></section></section></section></section></section></section></section></section></section><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><img data-copyright="0" data-cropselx1="0" data-cropselx2="558" data-cropsely1="0" data-cropsely2="275" data-ratio="0.5255731922398589" data-s="300,640" data-type="gif" data-w="567" src="http://mmbiz.qpic.cn/mmbiz_png/SdNVtxmtcRiaRRGMYpf5IMDDYv7hrsYzbm1Qy3NypQme09sqSMlEUWG1vmPfwqSUtjvVM8SBic3ibtxZWav0XPyqw/640?wx_fmt=gif" style="letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 558px !important;" /></p><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="max-width: 100%;color: rgb(62, 62, 62);font-size: 16px;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(217, 33, 66);box-sizing: border-box !important;overflow-wrap: break-word !important;">关注我们，精彩无限~！<img data-ratio="1" src="https://res.wx.qq.com/mpres/htmledition/images/icon/common/emotion_panel/smiley/smiley_84.png" data-w="20" width="20px" style="display: inline-block;vertical-align: text-bottom;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 20px !important;" /></span></strong></p></section></section><br />