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目的:了解新疆巴里坤乡村卫生服务一体化管理的现状及其问题。方法:根据访谈提纲的设定要求,选择17名访谈对象。采取开放式小组专题座谈与个人访谈,在知情同意下,进行现场录音和笔录的方法收集信息,通过回顾分析录音资料得出结果。结果:新疆巴里坤于2010年年底全面推行了乡村卫生服务一体化管理工作,并形成了“两制、八统一”的管理模式。但存在村医队伍不稳定、卫生技术人员不足、村级药品目录不合理等问题。结论:巴里坤乡村一体化管理有了一定的成效,对新疆及西部地区乡村卫生工作的推进有一定的借鉴意义,但一体化管理的开展有待深入。
Objective: To understand the status quo and problems of the integrated management of rural health services in Bari Kun, Xinjiang. Methods: According to the setting of interview outline, 17 interviewees were selected. Take an open group panel discussion and personal interviews, with informed consent, conduct on-site recordings and transcripts to collect information, and review the recording materials to obtain the results. Results: In the end of 2010, Bari-kun in Xinjiang carried out the integrated management of rural health services in an all-round way and formed a management system of “two systems and eight systems”. However, there are problems such as instability of the village medical team, lack of health technicians and unreasonable village-level drug list. Conclusion: The integrated management of Balikun rural area has achieved certain results, which is of some reference to rural health promotion in Xinjiang and western regions. However, the development of integrated management needs further study.