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长期以来,我国农村预防保健体制是一种医防合一的体制,即医疗、预防及保健三者在一个统一体内。这种体制已不能适应预防保健工作的发展,改革势在必行。为了开创农村防保工作的局面,落实预防保健战略重点任务,提高防保工作的社会效益和经济效益,满足人民群众日益增长的对防保工作的要求,宁津县对基层预防保健体制进行改革,实行院站分设,建立乡镇防保站。 一、改革的内容 1.对乡镇防保站的防保事业费实行定额补贴、独立核算、自负盈亏、超额提奖的制度。县卫生局保证乡镇防保人员百分之百的基本工资,其他补助工资从有偿服务中解决。收支结余部分提取80％的事业发展基金及20％的职工奖励基金,以增强防保站发展后劲和体现多劳多得的社会主义分配原则。 2.配备专职防保人员。防保人员的配备原则上
For a long time, China’s rural preventive health care system is a kind of medical and preventive integration system, that is, medical treatment, prevention and health care are all in a unified body. This kind of system can no longer adapt to the development of preventive health care. Reform is imperative. In order to create a situation of rural prevention work, implement the key tasks of preventive health care strategies, improve the social and economic benefits of prevention work, and meet the increasing demands of the people for protection work, Ningjin County will reform the grassroots prevention and health care system. The implementation of the hospital station division, the establishment of township defense stations. I. Contents of the reform 1. The system of fixed subsidies, independent accounting, self-financing and profit-taking, and excessive awards shall be applied to the protection expenses for township and township defense stations. The County Health Bureau guarantees 100% of the basic wages for the township’s defense personnel, and other subsidy wages are resolved from paid services. The balance of income and expenditure has drawn 80% of the business development funds and 20% of employee reward funds to enhance the development momentum of the anti-nursing station and embody the principles of socialist distribution with more work and more work. 2. Equipped with full-time defense personnel. Provision of defense personnel in principle