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众所周知,现代医学模式由生物学转向生物-心理-社会医学模式,医疗卫生的目的由减少疾病和伤残转向积极保护和促进人们的健康。同时,疾病谱和死亡谱及人口结构的变化,使单纯的医疗技术服务扩大到社会综合治疗服务。医疗保健进入社区,集预防、保健、治疗、康复于一体,对个人、家庭提供全方位的社区卫生保健服务的一种全新的医疗服务形式正在兴起。设想建立“妇幼保健家庭社区档案”(简称家档),充分利用妇幼保健系统管理的动态信息,使妇幼保健进入社会,为社区妇幼保健服务奠定基础。
It is well-known that the modern medical model has shifted from biology to biomedical-psychosocial-medical modality. The purpose of medical and health care is to reduce the incidence of diseases and disabilities and actively protect and promote people’s health. In the meantime, the changes in the spectrum of diseases and deaths and in the demographic structure have made simple medical and technical services extended to comprehensive social services. Health care In the community, a new form of medical service that provides comprehensive community health care services to individuals and families is emerging as a form of prevention, care, treatment and rehabilitation. It is envisaged to establish a “maternal and child health home community file” (referred to as the family file) and make full use of the dynamic information of maternal and child health system management to bring maternal and child health care into the community and lay the foundation for community maternal and child health care services.