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全科医学的发展;可使医疗费用得到有效控制,缩短医生和患者的距离,使卫生资源得到均衡的利用。所以发展全科医学已引起上海农村卫生领导的重视。1 上海农村社区发展状况1.1 转型中的农民居住结构 上海农村居民长期以来有稳定的居住结构,以村为单位,有数十个自然村落组成。社区保健有村卫生室承担。这个传统维持了近30年。乡村医生对社区情况的熟悉和社区居民对乡村医生的信赖形成了融洽的关系。但自90年代起,这
The development of general medicine can effectively control medical expenses, shorten the distance between doctors and patients, and make a balanced use of health resources. Therefore, the development of general medicine has attracted the attention of Shanghai rural health leaders. 1 Development Status of Rural Communities in Shanghai 1.1 Farmers’ Residence Structure in Transition Shanghai’s rural residents have a stable residential structure for a long time. They are composed of villages and dozens of natural villages. Community health care is provided by the village clinics. This tradition has been maintained for nearly 30 years. Rural doctors’ familiarity with the community situation and the community residents’ trust in rural doctors formed a harmonious relationship. But since the 90s, this