CAJ | 학술논문

浙江省推出以农民健康体检为纽带的基层卫生服务策略,并取得了一定成效.为进一步评估该策略取得的成效和存在的问题,探讨农村卫生的可持续发展,我们选择嘉兴平湖和台州仙居两地进行调研.调查结果表明,以农民健康体检为纽带的基层卫生服务策略在改善医患关系、促进农民健康理念、控制慢性病等方面起到了明显作用,对基层卫生机构和卫生人员服务观念与方法产生了较大影响.同时也存在一些问题,需要政府支持、项目改进、资源优化来保证农村卫生服务的可持续发展.
절강성추출이농민건강체검위뉴대적기층위생복무책략,병취득료일정성효.위진일보평고해책략취득적성효화존재적문제,탐토농촌위생적가지속발전,아문선택가흥평호화태주선거량지진행조연.조사결과표명,이농민건강체검위뉴대적기층위생복무책략재개선의환관계、촉진농민건강이념、공제만성병등방면기도료명현작용,대기층위생궤구화위생인원복무관념여방법산생료교대영향.동시야존재일사문제,수요정부지지、항목개진、자원우화래보증농촌위생복무적가지속발전.
Zhejiang province takes an innovative approach in its rural health service strategy featuring routine health examination,which proved an initial success.Intending to assess the effect and dilemma of such a system,and seek sustainable development in future,we made investigations in Pinhu and Xianju in Zhejiang province.Overall,rural health service strategy based on rural health routine examination,to some extent, improved patient-physician relationship,changed and strengthened their rural health concepts,and upgraded non-communicable disease control. Furthermore,the practice has economically and socially influenced rural health service institutions and rural physicians in terms of their concepts and methodology.There are also setbacks and problems in need of govemment support,programme improvement and resource optimization for further sustainability.