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中国农村基本卫生保健工作发展与思考

The rural primary health care of China:Development and consideration

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【作者】 王志锋贾金忠简伟研张和龙郭伟龙杨蕾段琳杨震陈育德

【Author】 WANG Zhi-feng1,JIA Jin-zhong2,JIAN Wei-yan1,ZHANG He-long1,GUO Wei-long1,YANG Lei1,DUAN Lin1,YANG Zhen1,CHEN Yu-de1 1.School of Public Health,Peking University,Beijing 100191,China 2.Graduate School,Peking University Health Science Center,Beijing 100191,China

【机构】 北京大学公共卫生学院北京大学研究生院医学部分院

【摘要】 目的:了解我国农村地区基本卫生保健工作的现状,以及在新世纪第一个十年中取得的成绩和存在的问题,为进一步推进农村基本卫生保健工作提出有针对性的政策建议。方法:按照分层抽样的方法,在全国选择400个县级行政单位,收集当地农村基本卫生保健工作的相关数据。结果与发现:(1)农村基本卫生保健工作得到政府重视,但财政保障仍不足;(2)乡村两级医疗卫生服务体系建设仍需不断完善;(3)基本公共卫生服务在医改政策推动下进展明显,后续要加大力度推进;(4)新型农村合作医疗制度不断完善;(5)基本药物制度实施使基层医疗卫生机构面临发展困境。

【Abstract】 Objective:This article is to understand China’s rural primary health care status,achievements and problems,and to propose appropriate policy recommendations which would promote the development of rural primary health care.Methods:The article selects the local rural primary health-related data from 400 county-level administrative units in China.Results:(1) Basic medical and public health work in rural areas gain government attention,but financial support remains inadequate;(2) Rural town and village level health service delivery system still need improvement;(3) Basic public health services make great progress in line with the health care reform,subsequent effort is in urgent need.(4) The new rural cooperative medical system is constantly improving;(5) Essential medicines system has been implemented,the development of primary health care institutions are facing difficulties.

【基金】 卫生部农村卫生管理司资助项目
  • 【文献出处】 中国卫生政策研究 ,Chinese Journal of Health Policy , 编辑部邮箱 ,2011年10期
  • 【分类号】R197.1
  • 【被引频次】13
  • 【下载频次】439
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