论文部分内容阅读
本文分别从县、乡、村和总体四个层次对农村各级医疗机构门诊病人的分布进行分析,发现门诊病人具有以下特征:(1)在城乡分布上,以农村居民为主,占81.6％;(2)在医疗保健制度构成上,以自费为多,占81.8％,集资仅为1.5％;(3)在职业构成上,农民所占比例最高,为53.9％;(4)在提供医疗服务的数量上,以乡卫生院最多,村卫生室次之,县级医院最少;并显示人力效率以乡卫生院最高,县级医院最低。为巩固和发展农村卫生事业,保障2000年人人享有卫生保健宏伟目标的如期实现,建议:(1)逐步改善农村卫生资源的投入结构,将卫生政策的重点转向农村,对乡、村两级采取倾斜政策;(2)尽可能地加强对农村集体办医的引导、扶持和恢复,以提高广大人民对医疗服务的承受能力。
This paper analyzes the distribution of outpatients at all levels of rural medical institutions from the county, township, village, and overall levels, and finds that outpatients have the following characteristics: (1) In rural and urban areas, rural residents account for 81.6%. (2) In terms of the composition of the health care system, self-employment is more, accounting for 81.8%, and the fund-raising is only 1.5%; (3) in terms of occupation composition, the highest proportion of farmers is 53.9%; (4) in the provision of medical care In terms of the number of services, the number of township hospitals is the largest, followed by village clinics, and county-level hospitals are the least. It also shows that human efficiency is highest in township health centers and lowest in county-level hospitals. In order to consolidate and develop rural health undertakings and guarantee the realization of the grand goal of health care for all in 2000, it is recommended that: (1) Gradually improve the input structure of rural health resources, shift the focus of the health policy to the rural areas, to the township and village levels Take a tilt policy; (2) Strengthen the guidance, support, and restoration of rural collective medical services as much as possible to improve the general population’s ability to afford medical services.