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石门县地处湘西北,是一个贫困的山区县。全县43个乡(镇),68万人,其中农业人口61万。建国以来,党和政府关心老区人民的生产与生活,老区的各项事业包括卫生事业均取得了长足的进展。但是,近些年来,随着合作医疗的解体,山区农民看病难的问题日益突出,贫困山区的卫生事业不仅发展缓慢,而且已呈现出逐步萎缩的趋势。一、医疗人员少又不精。按照《湖南省乡镇卫生院管理办法》中规定的配备医务人员的标准,即每千人口配备1.4名医务人员,全县应配备854人,目前有560人,仅占应配备数的65.5%。苏家铺区共辖三个乡,面积294平方公里,人口27000。该区沟壑纵横,山峰林立,
Located in northwest Hunan, Shimen County is a poor mountain county. The county has 43 townships (towns) and 680,000 people, of which the agricultural population is 610,000. Since the founding of the People’s Republic of China, the party and the government have been concerned about the production and livelihood of the people in the old districts. All the old districts’ businesses, including health care, have made considerable progress. However, in recent years, with the disintegration of cooperative medical care, the problem of difficult access for farmers in mountainous areas has become increasingly prominent. The health undertakings in poor mountainous areas have not only been slow but have also shown a gradual decline. First, the medical staff is small and not fine. According to the standard for the provision of medical personnel as stipulated in the “Measures for the Management of Township Health Centers in Hunan Province”, that is, with 1.4 medical personnel per 1,000 population, the county should have 854 people, currently 560, accounting for only 65.5% of the required number. Sujiapu District has jurisdiction over three townships, covering an area of 294 square kilometers and a population of 27,000. The area is surrounded by ravines and mountains.