中国农村基本卫生保健工作发展与思考  

The rural primary health care of China:Development and consideration

作　　者：王志锋[1] 贾金忠[2] 简伟研[1] 张和龙[1] 郭伟龙[1] 杨蕾[1] 段琳[1] 杨震[1] 陈育德[1] 

机构地区：[1]北京大学公共卫生学院,北京100191 [2]北京大学研究生院医学部分院,北京100191

出　　处：《中国卫生政策研究》2011年第10期1-6,共6页Chinese Journal of Health Policy

基　　金：卫生部农村卫生管理司资助项目

摘　　要：目的:了解我国农村地区基本卫生保健工作的现状,以及在新世纪第一个十年中取得的成绩和存在的问题,为进一步推进农村基本卫生保健工作提出有针对性的政策建议。方法:按照分层抽样的方法,在全国选择400个县级行政单位,收集当地农村基本卫生保健工作的相关数据。结果与发现:(1)农村基本卫生保健工作得到政府重视,但财政保障仍不足;(2)乡村两级医疗卫生服务体系建设仍需不断完善;(3)基本公共卫生服务在医改政策推动下进展明显,后续要加大力度推进;(4)新型农村合作医疗制度不断完善;(5)基本药物制度实施使基层医疗卫生机构面临发展困境。Objective：This article is to understand China＇s rural primary health care status,achievements and problems,and to propose appropriate policy recommendations which would promote the development of rural primary health care.Methods：The article selects the local rural primary health-related data from 400 county-level administrative units in China.Results：（1） Basic medical and public health work in rural areas gain government attention,but financial support remains inadequate;（2） Rural town and village level health service delivery system still need improvement;（3） Basic public health services make great progress in line with the health care reform,subsequent effort is in urgent need.（4） The new rural cooperative medical system is constantly improving;（5） Essential medicines system has been implemented,the development of primary health care institutions are facing difficulties.

关 键 词：基本卫生保健 农村卫生 卫生体制改革 

分 类 号：R197[医药卫生—卫生事业管理]