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2005年4月温家宝总理前往北京月坛社区卫生服务中心视察时指出:“社区卫生服务中心是整个医疗系统最基层的服务单位,是最有活力的细胞,是群众最需要的医疗服务机构。社区服务办好了,群众看病难的问题就会得到缓解。”目前,全国98%的地级以上城市、93%的市辖区和一半以上的县级市开展了社区卫生服务,社区卫生服务中心、服务站分别已达5000多个和近1.8万个,全国从事社区卫生服务的卫生人员总数约26万。在大中型城市,政府原则上按照3～10万居民或按照街道办事处所辖范围,规划设置1所社区卫生服务中心和若干社区卫生服务站。到2010年,全国地级以上城市和有条件的县级市要建立比较完善的城市社区卫生服务体系。目前国家已经把社区卫生服务作为城市卫生改革的突破口及加强公共卫生事业建设,解决看病难、看病贵的一项基础性工作。社区护理是社区卫生工作的重要组成部分。社区护理开展得如何,能否满足群众需求,可在一定程度上反映社区卫生工作的管理者和社区护理人员服务观念和服务模式转变的程度。为配合卫生改革的深入发展,本期特别策划从多个角度向读者介绍有关社区卫生工作的要求、目前的状况、今后的发展目标以及选择了香港地区及内地有代表性的社区进行护理先进经验的介绍等。社区护理作为一种新的服务模式,其方式、方法、体系的完善均是一个长期探索、尝试的过程,因此需要我们不断地交流、积累经验,在摸索中潜行,在相互借鉴中使之日趋成熟。
When Premier Wen Jiabao visited the Yuetan Community Health Service Center in Beijing in April 2005, he pointed out: “The community health service center is the most basic service unit in the entire medical system. It is the most dynamic cell and the most needed medical service organization. The community service is running well, and the problem of people’s difficulty in seeing a doctor will be alleviated.” At present, 98% of cities above the prefecture level, 93% of the municipal districts, and more than half of the county-level cities have launched community health services and community health services. The number of centers and service stations has reached more than 5,000 and nearly 18,000 respectively, and the total number of health personnel engaged in community health services in the country is approximately 260,000. In large and medium-sized cities, in principle, the government plans to set up 1 community health service center and a number of community health service stations according to the range of 3 to 100,000 residents or according to the jurisdiction of the sub-district office. By 2010, cities above prefecture level and county-level cities with conditions must establish a relatively complete urban community health service system. At present, the state has taken the community health service as a breakthrough point in urban health reforms and strengthened the construction of public health undertakings to solve the basic work of seeing a doctor and expensive. Community care is an important part of community health work. How the community care is carried out and whether it can meet the needs of the people can, to a certain extent, reflect the degree of change in service concepts and service models of community health care managers and community care workers. To cope with the in-depth development of health reform, this special issue plans to introduce readers from various perspectives on community health work requirements, current conditions, future development goals, and the selection of representative communities in Hong Kong and the Mainland for advanced nursing experience The introduction and so on. Community nursing as a new service model, the improvement of its methods, methods and systems is a process of long-term exploration and experimentation. Therefore, we need to constantly communicate, accumulate experience, sneak in exploration, and make it increasingly useful in learning from each other. mature.