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该文简要介绍了“中国农村三级医疗预防保健网的焦点问题、作用机制和发展战略研究”项目的研究结果。农村地区卫生事业发展的焦点问题是“预防保健职能难以切实落实到位或流于形式” ,具体表现为“重医轻防、以医养防、重有偿轻无偿、重有收益轻少收益”。问题的根源是政府财政投入不足前提下的允许有偿服务政策 ,促发因素是缺乏对无偿服务的有效监督机制 ,建立了“我国疾病防制功能难以切实落实的作用机制模型”。并在此基础上建立了“促使我国疾病防制功能切实落实到位的政策模型” ,论证了数种潜在的政策方案。评价了“乡村卫生组织一体化管理”方案实施的社会效果和存在问题。
This paper briefly introduces the research results of the “China’s rural three-tiered medical preventive health care network focus, role mechanism and development strategy research” project. The focus of health development in rural areas is that “prevention and health care functions are difficult to implement in place or in form.” The specific manifestations are: “giving priority to doctors, defending them by doctors, defending them by doctors, paying heavily for compensation, and benefiting less.” The root of the problem is the policy of allowing paid services under the premise of insufficient government financial input. The precipitating factor is the lack of an effective supervision mechanism for unpaid services, and establishes a “mechanism model for the effective implementation of disease prevention and control functions in China”. On this basis, a “policy model that promotes the effective implementation of disease prevention and control functions in China” has been established, and several potential policy options have been demonstrated. Evaluated the social effects and problems of the implementation of the “Integrated Management of Rural Health Organizations” program.