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目的了解2006年四川省城市社区公共卫生服务的情况,对存在的问题进行分析,提出相应对策。方法选取6个城市的12家社区卫生服务中心,针对社区公共卫生服务开展情况和亟待解决的问题进行问卷调查和专题小组讨论。结果半数以上的社区卫生服务中心能够提供44项具体服务内容中的37项。存在的问题有:政策落实需进一步加强,公共卫生服务职能未完全下沉,专职预防保健人员遭遇困难和社区公共卫生服务“保量”未“保质”。结论各地应依托体系建设,落实相关政策;各中心应完善服务功能,全面提供社区公共卫生服务;明确身份,落实责任。
Objective To understand the situation of public health services in urban communities in Sichuan Province in 2006, analyze the existing problems and put forward corresponding countermeasures. Methods Twelve community health service centers in six cities were selected to conduct questionnaires and panel discussion on the development of community public health services and the problems to be solved urgently. Results More than half of the community health service centers were able to provide 37 of 44 specific services. The existing problems are: the implementation of the policy needs to be further strengthened, the function of public health service has not completely subsided, the full-time prevention of health care workers has encountered difficulties and community public health services. Conclusion All localities should rely on the system construction and implement relevant policies; each center should improve its service functions and provide community public health services in an all-round way; clarify its identity and fulfill its responsibilities.