CAJ | 학술논문

经过灾后重建、整合、转化、提升，汶川地震灾区基层医疗卫生服务体系已经基本健全，并取得了较为明显的成效；理清地震灾区基层医疗卫生服体系重建路径，对于进一步总结地震灾区医疗卫生服务体系建设经验和提升基层医疗卫生服务质量等具有重要的现实意义。本文通过对汶川地震极重灾区的绵竹市、安县和北川县进行调查研究，梳理分析了3个县(市)基层医疗卫生服体系具体重建路径，包括采取灾区自建与中央支持、对口支援相结合，政府主导与社会参与相结合，就地恢复重建与异地新建相结合，并辅之以相应的政策制度和资金保障等保障措施。
경과재후중건、정합、전화、제승，문천지진재구기층의료위생복무체계이경기본건전，병취득료교위명현적성효；리청지진재구기층의료위생복체계중건로경，대우진일보총결지진재구의료위생복무체계건설경험화제승기층의료위생복무질량등구유중요적현실의의。본문통과대문천지진겁중재구적면죽시、안현화북천현진행조사연구，소리분석료3개현(시)기층의료위생복체계구체중건로경，포괄채취재구자건여중앙지지、대구지원상결합，정부주도여사회삼여상결합，취지회복중건여이지신건상결합，병보지이상응적정책제도화자금보장등보장조시。
The grassroots medical and health service system in Wenchuan earthquake stricken area has become basically sound after reconstruction, integration, transformation and ascension, and has achieved significant results. Clarifying path reconstruction of grassroots medical and health service system in the earthquake stricken areas is of great practical significance to sum up the construction experiences of medical and health service system in the earthquake stricken areas and improve the quality of basic medical and health services. Through the investigation and study in Mianzhu, Anxian, and Beichuan, the heavily earthquake stricken areas, some specific reconstruction paths are analyzed in this paper, including the following safeguard measures: self-built disaster area combined with the central support and counterpart support; government leading combined with social participation; the restoration and reconstruction on the spot combined with construction in some new spots, supplemented by the corresponding policy and funds guarantee.