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目的分析木林镇镇辖域内村级卫生服务机构的现状,探讨木林镇卫生网底建设的方式方法。方法统计分析木林镇村级卫生服务机构的分布和数量、在村级服务机构的医务人员、乡村医生的情况,发现村级卫生服务机构中存在的问题。结果果木林镇村级卫生服务机构共计39家,包括社区卫生服务站15家、村卫生室21家、个体诊所3家,分布在26个自然村中的19个村。卫生院下派入村社区卫生服务站医护人员共计18名,聘用执业乡村医生12名。村卫生室执业乡村医生30名。网底村庄覆盖率未达到100%,卫生院与服务站均存在人力不足,村级卫生机构存在同一村内室、站并存,人力资源绝对不足与人力资源浪费并存,村卫生室未纳入农村合作医疗报销范围,乡村医生积极性不高,人员老化等问题。结论强化村级卫生服务机构网底建设,整合村卫生室与社区卫生服务站,筑牢村级卫生网底,加强木林镇卫生院二级医院建设,形成层次分明、分级诊疗的就医格局势在必行。
Objective To analyze the status quo of village-level health service institutions within the jurisdiction of Mulin Town and to explore the ways and means of health net construction in Mulin Town. Methods Statistical analysis of the distribution and quantity of village-level health service agencies in Mulin Township, the problems of medical staff and village doctors in village-level service agencies, and the problems in village-level health service agencies were found out. Results A total of 39 village health service agencies in Guomulin Township were established, including 15 community health service stations, 21 village clinics, 3 individual clinics and 19 villages in 26 natural villages. There are 18 medical staff assigned to community health service stations under the hospital, and 12 practicing village doctors are employed. Village clinics practicing village doctors 30. Net village bottom coverage rate did not reach 100%, hospitals and service stations are lack of manpower, village-level health institutions exist in the same village room, station co-exist, the absolute lack of human resources and human resources coexist, the village clinic is not included in the rural cooperative medical care Reimbursement range, the enthusiasm of rural doctors is not high, aging and other issues. Conclusions Strengthen the network construction of village-level health service institutions, integrate village clinics and community health service stations, build a network of village-level health clinics, strengthen the construction of Grade-II Hospitals in Hulin Township Hospitals, and form a well-structured and graded medical service for medical treatment Will do.