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为进一步完善直接面视下短程化疗(DOTS)策略对结核病进行治疗和预防,世界卫生组织逐步推出了公私医疗合作(public-private mix,PPM)。该文对PPM的合作形式和方式、合作内容及效果、PPM实施的挑战及问题等进行综述,并提出了因地制宜选择适宜的模式、加强政府的主导作用、建立和完善合作关系及充分发挥基层医疗机构的作用等建议。
In order to further improve the treatment and prevention of tuberculosis under the direct-view, short-course chemotherapy (DOTS) strategy, WHO gradually introduced public-private mix (PPM). This article summarizes the forms and modes of PPM cooperation, contents and effects of cooperation, challenges and problems of PPM implementation, and puts forward some suggestions on how to choose the appropriate mode according to local conditions, strengthens the leading role of government, establishes and improves cooperative relations and gives full play to primary care The role of agencies and other recommendations.