乡镇企业职业卫生问题多,如何做好还缺乏成功的经验。1986年始我们按照WHO职业卫生合作中心提出的乡镇企业职业卫生服务与初级卫生保健(PHC)相结合的意见,选择了一个中等乡—赤松乡开展研究探索(部分工作在全县同步开展),现将结果报告如下:一、初级卫生保健与职业卫生服务网络和管理体系建立情况实践证明,面广量大的乡镇企业职业卫生服务和PHC工作单靠卫生防疫部门孤军作战是难以搞好的。为此,我县根据实际工作需要先后建立健全了具有管理、协调、业务等方面的机构网络(见表1)。表1 金华县卫生管理、协调、医疗保健网组织情况 There are many occupational health problems in township and village enterprises, and how to do it successfully still lacks successful experience. In 1986, according to the opinions of WHO’s occupational health service and primary health care (PHC) proposed by the WHO Collaborating Center for Occupational Health, we chose a middle-township—Red Pine Township to carry out research and exploration (part of the work was carried out simultaneously in the county). The results are reported as follows: 1. The establishment of primary health care and occupational health service networks and management systems Practice has proved that it is difficult to do well in the face-to-face large-scale township and township enterprises occupational health services and PHC work alone relying on the health and epidemic prevention departments alone. To this end, our county has established and improved a network of institutions with management, coordination, and operations in accordance with actual work needs (see Table 1). Table 1 Organizational status of health management, coordination, and healthcare network in Jinhua County