摘要发展基于社区卫生服务的基本医疗卫生服务体系是新医改的重要目标之一,建立基层医疗机构管理服务新机制是浙江省新医改的创新和有益的探索.阐述了目前基层医疗机构管理服务现状,重点论述了杭州市某区卫生局从2007年底积极开展社区卫生服务集团化管理的"九‘化'模式"的具体策略和获得的主要成效,为探索区域内社区卫生服务机构的集团化管理,为完善以社区卫生服务为基础的新型城市基层医疗卫生服务体系,提供模式参考.

abstractsFull-speed development of the primary health care centering on community health service is key to the ongoing health reform in China. Building a new management mechanism for these grass-root health centers is an innovative approach of such a reform as carried out in Zhejiang province.The authors described the present management mechanism in the province, and focused on the specific measures and main outcomes of the "nine Group-scale model" as used by a district health bureau in Hanzhou since end of 2007. The paper aims at building an ideal model for group-scale management of community health centers, and improving the new city primary health care system centering on community health service.