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为有效抑制乡镇卫生防病组织实行承包管理后出现的弊端,防止乡镇卫生防病工作继续滑坡,1997年初选择蓟县上仓医院、东塔卫生院为试点,在健全乡镇卫生防病组织机构的基础上,制定了业务、经济、管理、精神文明建设、缺陷限制五类指标,40项考核标准的综合目标管理模式。经过一年的试运转,试点单位各项卫生防病工作均取得了明显的效果。1998年在全县41个乡镇医院、卫生院全面实施。其结果:健全了适应目前形势的乡镇卫生防病组织;传染病、慢病及死因漏报率分别比1997年下降了74.4％、54.2％和31.4％;出生月报及时率上升了46 8％;结核病报告率、报告及时率、新发肺结核病人登记及时率分别比1997年上升了25.8％、31.8％和47.6%。在各项业务工作取得显著成绩的同时,卫生防病技术服务总收入也较1997年增加了36.4%。
In order to effectively curb the drawbacks of township health and disease prevention organizations after implementation of contract management, and prevent township health and disease prevention work from continuing to decline, in early 1997, Shangcang Shangcang Hospital and Dongta Hospital were selected as pilot sites to improve the foundation of township health and disease prevention organizations. At the same time, we formulated five comprehensive indicators for business, economic, management, spiritual civilization construction and defect limitation, and 40 comprehensive evaluation targets. After one year of trial operation, the pilot units have achieved remarkable results in various health and disease prevention work. In 1998, 41 township hospitals and health centers were fully implemented in the county. As a result, the township health and disease prevention organizations adapted to the current situation have been improved; the rates of missed reports of infectious diseases, chronic diseases, and death causes have fallen by 74.4%, 54.2%, and 31.4%, respectively, compared to 1997; the time-to-month rate of births has increased by 46.8%. The rate of tuberculosis reporting, the timely rate of reporting, and the timely rate of registration of newly diagnosed tuberculosis patients were 25.8%, 31.8%, and 47.6% higher than in 1997, respectively. While achieving remarkable results in various business operations, the total revenue from health and disease prevention technology services also increased by 36.4% over 1997.