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我们花2 年时间通过对深圳、天津等大中城市的18 个社区卫生服务的考察,既有社区卫生服务成功的一面,也有值得进一步研究的一面。因此,我们在阐述社区卫生服务的内涵与外延的同时,列举了社区卫生服务成功与欠理想的实例,提出影响社区卫生服务的10 大因素:①领导重视;②全科医学人员的合理配置;③医疗项目的开展;④善处社区公共关系;⑤较全的仪器设备及必备物质的完善;⑥开展防保健教和计生技术服务;⑦系统培养全科医学人才及科研;⑧改善社区卫生服务人员的服务态度、实行优质服务、取得社会良好评价;⑨坚持合理收费,对弱者给予优惠收费;⑩规范运作好每一个社区卫生服务站并发挥其应有的作用
We spent two years examining 18 community health services in large and medium-sized cities such as Shenzhen and Tianjin. We have both a successful and a worthy aspect of community health services. Therefore, while elaborating the connotation and extension of community health services, we listed examples of successful and unsatisfactory community health services and proposed 10 major factors affecting community health services: 1 leadership attention; 2 rational allocation of general medical personnel; 3 development of medical projects; 4 good community community relations; 5 complete improvement of equipment and essential materials; 6 implementation of health education and family planning technical services; 7 systematic training of general medical personnel and research; 8 improvement of community health services The service attitude of personnel, the implementation of high-quality services, and the acquisition of good social evaluations; 9 Adhere to reasonable fees and provide preferential fees to the weak; 10 Standardize and operate each community health service station and play its due role.