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在《中共中央、国务院关于深化医药卫生体制改革的意见》(中发〔2009〕6号)和《国务院关于印发医药卫生体制改革近期重点实施方案(2009—2011年)的通知》(国发〔2009〕12号)中,把促进公共卫生服务均等化作为医药卫生体制改革的重点。实施基本公共卫生服务项目,是促进和实现基本公共卫生服务均等化的重要内容和手段。基层医疗卫生机构作为我国疾病预防控制体系网络的网底,承担了提供公共卫生服务的大部分职责。现结合上海市某基层医疗卫生机构(下简称A机构)公共卫生服务的现状,对基层实施基本公共卫生服务项目存在的问题进行分析,并提出建议。
In the “Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reform of the Medical and Health System” (Zhong Fa [2009] No. 6) and the “Notice of the State Council on Issuing the Key Implementation Plans for the Reform of the Medical and Health System (2009-2011)” (Guo Fa [ 2009] No. 12), to promote the equalization of public health services as the medical and health system reform priorities. Implementing basic public health service projects is an important content and means to promote and realize the equalization of basic public health services. As the network of the network of disease control and prevention system in our country, grassroots medical and health institutions have undertaken most of the responsibilities of providing public health services. Based on the status quo of public health services of a grass-roots medical and health institutions in Shanghai (hereinafter referred to as A institutions), this paper analyzes the problems existing in the implementation of basic public health service projects in grassroots units and puts forward suggestions.