社会保障研究
社會保障研究
사회보장연구
SOCIAL SECURITY STUDIES
2011年
5期
69-73
,共5页
农村公共卫生服务%村卫生室%村医%财政补偿%队伍建设
農村公共衛生服務%村衛生室%村醫%財政補償%隊伍建設
농촌공공위생복무%촌위생실%촌의%재정보상%대오건설
public health services in rural areas%medical care center%health care provider%finance compensation
当前村医的诊疗能力有一定提高。农村居民患者的就医意向和对村医服务态度的评价与其年龄和受教育程度密切相关,同时村医对疾病预防和控制知识的宣传不够,对微利的预防保健工作的重视不够。为更好地发挥三级医疗卫生服务网络“网底”的作用,农村公共卫生服务补偿力度应视不同地区经济发展水平而异,重点向贫困地区倾斜,建立权责分明的村卫生室绩效考核制度,明确各级财政对公共卫生服务项目的补偿比例,鼓励多元化筹资兴办村卫生室。
噹前村醫的診療能力有一定提高。農村居民患者的就醫意嚮和對村醫服務態度的評價與其年齡和受教育程度密切相關,同時村醫對疾病預防和控製知識的宣傳不夠,對微利的預防保健工作的重視不夠。為更好地髮揮三級醫療衛生服務網絡“網底”的作用,農村公共衛生服務補償力度應視不同地區經濟髮展水平而異,重點嚮貧睏地區傾斜,建立權責分明的村衛生室績效攷覈製度,明確各級財政對公共衛生服務項目的補償比例,鼓勵多元化籌資興辦村衛生室。
당전촌의적진료능력유일정제고。농촌거민환자적취의의향화대촌의복무태도적평개여기년령화수교육정도밀절상관,동시촌의대질병예방화공제지식적선전불구,대미리적예방보건공작적중시불구。위경호지발휘삼급의료위생복무망락“망저”적작용,농촌공공위생복무보상력도응시불동지구경제발전수평이이,중점향빈곤지구경사,건립권책분명적촌위생실적효고핵제도,명학각급재정대공공위생복무항목적보상비례,고려다원화주자흥판촌위생실。
Based on investigation, we found the medical skills of local health care providers were improved, though they did relatively little work for the prevention and control of diseases and medical education of local people since yield of disease prevention and control is not good. On the other hand, villagers' attitude to local physicians and their choice of health care institution is closely related to their age and education background. We propose that strengthened efforts toward better public health network should be applied according to circumstances, putting the proven- areas prior to developed areas. Besides, performance assessment for the evaluation of health care providers, clear property of finance allocation, as well as diversified foundation to build health care centers in villages are key steps leading to a sound basis of rural health care system.