本文以《国务院关于发展城市社区卫生服务的指导意见》的颁布为背景,结合系统动力学模拟、分析了城市卫生服务系统转型的历史过程,探讨了新型二级城市卫生服务系统的结构和功能分解,展望了其行为特征。同时指出面对卫生改革这一世界难题,卫生系统的结构演变过程及其动力机制有赖于深入研究,方可为政策制定提供前瞻性指导。
Directed by State Council's Guiding Ideology to Improve Health Service in Urban Communities, system dynamics modeling methods were applied to analyze the historic transformation of urban health service system, Separation of structure and function in the new two -level urban health service system was investigated and its behavioral characteristics were predicted. The structure evo- lution and motive powers of health system must be further studied so as to provide advisable guidance for deepening health reforms.