ABSTRACT
In the health service field,health resources and health service supple capacity were related with the resource and capacity in economics.Health resources,health service supple capacity and their relationships were important factors for the cooperation and benign interaction of hierarchical medical institutions.However,inversion of health resources and health dislocation of service supply capacity exacerbated the agglomeration degree of patients in the tertiary medical institutions under the impact of residents' freely searching for medical service concept.Vicious interaction and mutual competition among hierarchical medical institutions had become an important obstacle for the implementation of hierarchical medical services.Therefore,its mechanism needed to be clarified while the corresponding policy recommendations should be proposed.
ABSTRACT
The government purchasing of community health service was an important way to change the mode of health service supply,which was also an important way to improve the primary health service supply system.On the basis of government purchasing of community health service development in China,it analyzed the current situation and insufficient coverage of Shenzhen municipal government purchasing community health services,proposed the improvement strategies for improving government guarantee and management capacity,standardizing government purchasing process and enhancing the management of relationship among the main bodies so as to solve the problems of insufficient government guarantee level,nonstandard purchasing process and insufficient cooperative management concept.
ABSTRACT
Objetivo: El objetivo general de este estudio es identificar la distribución de la oferta de servicios de Medicina Alternativa a nivel departamental y la concentración de oferta de servicios de Medicina alternativa en el país. Métodos: La información se obtuvo del Registro Especial de Prestadores publicado en el sitio Web del Ministerio de la Protección Social en Julio de 2010 Resultados: Se encontró que Bogotá D.C es la ciudad con mayor concentración de prestadores de servicios de salud que ofrecen el servicio de Medicina Alternativa, seguida por los departamentos de Antioquia, Valle del Cauca, Cauca y Cundinamarca con sus respectivas capitales y que no se diferencia el tipo de Medicina Alternativa - Terapia Alternativa que se ofrece. Discusión: Existen muchos municipios en el país donde aún no se registra oferta de servicios de Medicina Alternativa por lo que los profesionales de salud especializados en este tipo de medicina tienen grandes oportunidades en diversos lugares para ejercer su práctica profesional; así mismo, esta todo por desarrollar esta Medicina Alternativa en ámbitos ambulatorios e intrahospitalarios diferentes a los de consulta externa baja complejidad.
Objective This study's overall objective was to identify the supply and distribution of complementary and alternative medicine (CAM) services at departmental level and the concentration of CAM service supply in Colombia. Method The information was obtained from the special list of CAM providers published on the Colombian Ministry of Social Protection (Ministerio de Protección Social) web-site in July 2010. Results Bogotá was the city having the greatest concentration of CAM health-service providers, followed by the departments of Antioquia, Valle del Cauca, Cauca and Cundinamarca, with their respective capitals, and that the type of alternative medicine-therapy being provided differed very little. Discussion Many towns/municipalities in Colombia still lack a record of CAM service providers, meaning that health practitioners specialising in this kind of medicine have great opportunities for providing their services in many parts of the country; likewise, there is a whole field waiting for CAM services to be developed in outpatient and intra-hospital settings different to low-complexity external consultancy.