Page 6 - 2022-31-中国全科医学

http://www.chinagp.net E-mail:zgqkyx@chinagp.net.cn ·3843·

• 述评 •

基于地理分级标准的偏远地区卫生人力资源优化：

澳大利亚改良版蒙纳士模型及其对我国的启示

扫描二维码
1
3
2
干颖滢 ，王书平 ，吴晓凡 ，闫丽娜 2* 查看原文
【摘要】 澳大利亚 28% 的人口居住在农村或偏远地区，因为地理条件问题，该类人群在卫生服务利用上面临
着诸多挑战，健康状况普遍劣于沿海大都市区居民。为解决该类地区的医疗服务难题，澳大利亚卫生部自 1994 年起
使用基于地理分级的人力资源分类系统以改进医疗服务，并定时更新地理分级系统以适应新的社会人口情况与医疗服
务状况，同时制定了一系列配套的卫生政策来支持农村及偏远地区的医疗服务。2018 年起，澳大利亚卫生部开始启用
新的分级标准，即改良版蒙纳士模型（MMM）。本文回顾性分析了澳大利亚的做法并认为：为更好地为我国医疗资源
薄弱地区提供优质、可及的医疗服务，我国可借鉴澳大利亚的相关经验，适时推进并分阶段细化医疗服务的地理分级
系统，系统化制定相应资源优化政策，并发挥现代化与高新科学技术的作用。
【关键词】 农村和边远地区；农村卫生；资源配置；地理分级；卫生服务易得程度；健康公平；卫生政策；
澳大利亚
【中图分类号】 R 127 【文献标识码】 A DOI：10.12114/j.issn.1007-9572.2022.0385
干颖滢，王书平，吴晓凡，等 . 基于地理分级标准的偏远地区卫生人力资源优化：澳大利亚改良版蒙纳士模型及
其对我国的启示［J］. 中国全科医学，2022，25（31）：3843-3850.［www.chinagp.net］
GAN Y Y，WANG S P，WU X F，et al. Enhancing access to health workers in remote areas using the Modified Monash
Model：Australia's experience and implications for China［J］. Chinese General Practice，2022，25（31）：3843-3850.

Enhancing Access to Health Workers in Remote Areas Using the Modified Monash Model：Australia's Experience and
3
2
1
Implications for China GAN Yingying ，WANG Shuping ，WU Xiaofan ，YAN Lina 2*
1.Healthcare Environment Research Center，Delft University of Technology，Delft 2628BL，the Netherlands
2.China National Health Development Research Center，Beijing 100191，China
3.School of Medicine，Shihezi University，Shihezi 832003，China
*
Corresponding author：YAN Lina，Assistant research fellow；E-mail：yanln@nhei.cn
【Abstract】 In Australia，28% of the population live in remote and rural areas，where they face many health
service utilization challenges due to geographical conditions，and generally have lower health status than those living in coastal
metropolitan areas. To address the challenges of accessing health services in remote and rural areas，the Australian Government
Department of Health and Aged Care has introduced a geographical classification system to help healthcare providers to improve
healthcare services since 1994，and regularly updated the system to adapt to the latest sociodemographic and healthcare status，
as well as formulated a range of complementary health policies to support rural and remote areas. From 2018，Australian
Government Department of Health and Aged Care has adopted a new classification standard，the Modified Monash Model. We
reviewed Australia's practices and concluded that，to better deliver high-quality and accessible healthcare services to areas
with weak healthcare resources in China，Australia's experience could be used for reference，during taking actions to promote
and refine the geographic classification system for healthcare services in a timely manner，formulating policies supporting the
enhancement of access to health workers systematically，and taking advantage of modern，high and new technologies.
【Key words】 Rural and remote areas；Rural health；Resource allocation；Geographical classification；Health
services accessibility；Health equity；Health policy；Australia

基金项目：中国与世界卫生组织 2020—2021 双年度合作项目（GJ2-2021-WHOPO-E1）；中国国家留学基金委资助项目
1.2628BL Healthcare Environment Research Center，Delft University of Technology，Delft，the Netherlands 2.100191 北京市，国家
卫生健康委卫生发展研究中心 3.832003 新疆维吾尔自治区石河子市，石河子大学医学院
*
通信作者：闫丽娜，助理研究员；E-mail：yanln@nhei.cn
本文数字出版日期：2022-09-15