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目的:了解富阳市某镇农民健康状况及卫生需求。方法:采用整群随机抽样方法,抽取富阳市里山镇3个行政村6个自然村2 047名农民进行健康检查,对1 181名农民上门调查;召开30名代表(镇干部、社区卫生服务中心代表、村干部和村民代表)参加的座谈会。结果:农民慢性患病率高;社区卫生服务内容仍需不断拓展,补偿机制不合理,专业人员素质不高;健康教育工作未能满足广大农民需求。结论:应增加投入全面实施农民健康工程;推进包括调整和制定相应政策、加快人才队伍建设、研究和制定相应评价体系在内的农村社区卫生服务工作;建立农村健康教育体系,提高健康教育效率。
Objective: To understand the health and health needs of farmers in a town in Fuyang City. Methods: A total of 2 047 peasants from 6 natural villages in 3 administrative villages in Lushan Town of Fuyang City were sampled for health check by random cluster sampling method. A survey was conducted on 1 181 peasants; 30 representatives (town cadres and representatives of community health service centers , Village cadres and villagers representatives) to participate in the forum. Results: The chronic illness rate of peasants is high. The contents of community health service still need to be expanded constantly. The compensation mechanism is unreasonable and the quality of professionals is not high. The health education fails to meet the needs of peasants. Conclusion: We should increase investment in the full implementation of peasant health projects; promote rural community health services including the adjustment and formulation of appropriate policies, speed up the construction of qualified personnel, and research and formulation of appropriate evaluation systems; establish a rural health education system and improve the efficiency of health education.