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本期刊登的江苏省常州市农村卫生专栏代表了中国特色社会主义农村卫生事业的科学性、先进性和创新性,具体表现在以下几个方面:(1)新型农村合作医疗在不断发展提高,以逐步满足人民群众的需求。人均筹资标准从2004年的63元逐年由政府、集体、个人三方筹资到了2007年的113元。补偿由住院扩大到门诊,至今累计住院补偿7.3万人次,门诊补偿60万人次,人均补偿已上升到占总医药费的25%以上,农民取得了较好的实惠。特别要提出,该市引入了先进计算机网络管理技术,使参保农民在任何医疗机构都可当场得到补偿。(2)该市于2003年起启动了农村社区卫生服务工作,到2006年底,经过卫生资源合理调整,全市建成74个乡镇社区卫生服务中心,493个村社区卫生服务站,并实行了乡、村一体化管理,大大提高了基层农民的医疗、预防、保健等的六功能服务水平,反映普遍良好。(3)公共卫生规范管理,服务质量不断提高。在社区卫生服务中心设置预防保健部,社区卫生服务站由乡村医生统管公共卫生和全科医学服务。计划免疫管理规范,流动人口管理认真。三级妇幼保健网络更有特色,体现出公共妇幼系统与临床医疗紧密结合,孕产妇和儿童系统管理良好,新生儿疾病筛查开展顺利。(4)农村卫生队伍能力建设已见成效。该市特别重视人才建设,2006年起按照市区二级财政、用人单位、个人共同筹资建立培养专项经费;确立理论培训基地4个,临床社区实践基地12个,同时组建师资队伍;分别设置管理干部、技术骨干人员、全科医师、社区护士、乡村医生全科培训等种类;还区别在职学历教育、岗位培训、继续教育,以提高类型的层次和水平;培养目标体现,防治结合,中西医结合,以适应我国国情和基层工作需要。经过一段努力,该市大专以上学历从36%上升到42%,乡村医生中专以上学历从23%上升到29%,岗位培训合格率在98%以上,继续教育覆盖率达100%。总之,我国农村卫生工作,长期以来,处于落后、被动状态,当前可适应社会主义新农村建议的大好形势,明确方向,加强力度,加快速度,实现又好又快的发展,常州市的先进典型值得推荐。
This issue of Changzhou City, Jiangsu Province, rural health column on behalf of the socialism with Chinese characteristics of rural health science, advanced and innovative, specifically in the following areas: (1) new rural cooperative medical care in the continuous development and improvement, To gradually meet the needs of the people. Per capita funding standards from 63 yuan in 2004 year by the government, collective, individual tripartite funding to 2007 113 yuan. The compensation has expanded from outpatient service to outpatient service, so far accumulated 73,000 inpatient compensation and outpatient service compensation 600,000, per capita compensation has risen to more than 25% of the total medical expenses, farmers have made better benefits. In particular, it is proposed that the city introduced advanced computer network management techniques so that insured peasants can be compensated on the spot in any medical institution. (2) The city started the rural community health service work in 2003. By the end of 2006, after the rational adjustment of health resources, 74 township community health service centers and 493 village community health service stations were built in the whole city, and the township, The integrated management of villages has greatly enhanced the level of six-level service such as medical treatment, prevention and health care of grass-roots farmers and reflected a generally good condition. (3) Standardization of public health management, continuous improvement of service quality. In the community health service center set up preventive health department, community health service station by the village doctor in charge of public health and general medical services. Plan immunization management standards and manage floating population seriously. Three levels of maternal and child health care networks are more distinctive, reflecting the close integration of public maternity and child care systems with clinical medicine, good maternal and child health system management, and good screening of neonatal diseases. (4) Rural health team capacity building has achieved some success. The city pays special attention to the construction of qualified personnel. Since 2006, the municipal secondary financial department, employing units and individuals have jointly funded the establishment of special funds for training. Four theoretical training bases and 12 clinical community practice bases have been set up, and the teaching staffs have been set up. Cadres, technicians, general practitioners, community nurses, rural doctors and other types of training; also distinguish on-the-job education, job training, continuing education, to improve the type of level and level; training objectives, prevention and treatment, Chinese and Western medicine Combined to meet the needs of China’s national conditions and grass-roots work. After a period of hard work, the city’s college education rose from 36% to 42%, rural doctors with secondary education rose from 23% to 29%, job training pass rate of 98% or more, continuing education coverage rate of 100%. In short, our country’s rural health work has for a long time been in a backward situation and a passive state. It is currently adaptable to the excellent situation in the proposal of a new socialist countryside. It clearly sets the direction, strengthens its efforts, accelerates its pace of development so as to achieve sound and rapid development. Changzhou’s advanced model Recommended.