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目的探索乡镇卫生院开展农村社区卫生服务的新模式。方法选择1个乡镇为农村社区卫生服务示范点,实施责任医生制度,为农民开展免费健康体检,建立健康档案,定期对重点人群开展随访管理和健康教育。结果以居民健康为中心的社区卫生服务顺利开展,慢性疾病得到逐步规范管理,乡社区卫生服务中心经济效益明显改善,农村居民自身的保健意识和基本健康知识水平明显提高,农民对乡镇卫生院满意度提高。结论开展以实施责任医生制度,建立和动态管理农民健康档案为主要内容的农村社区卫生服务,有助于提高农民健康水平和促进乡镇卫生院发展,但政府部门应进一步加强对农村社区卫生服务的重视并加大投入,改变农村基层卫生人员的服务观念和知识结构,提高农民健康意识。
Objective To explore a new mode of township hospitals for rural community health services. Methods One township was selected as the demonstration site of rural community health services. The system of responsible doctors was implemented. Free medical examinations were conducted for farmers and health records were established. Follow-up management and health education were regularly conducted for key populations. Results The community health service centered on residents’ health was carried out smoothly. The chronic diseases were gradually regulated and managed. The economic benefits of the township community health service centers were significantly improved. The health care awareness and basic health knowledge of rural residents were significantly improved. Improve the degree. Conclusion Carrying out the system of responsible doctor, establishing and dynamically managing the rural health archives as the main content of rural community health services will help improve the health of farmers and promote the development of township hospitals, but government departments should further strengthen the rural community health services Pay attention to and increase input, change the rural grass-roots health personnel service concept and knowledge structure, improve farmers’ health awareness.