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成立于1984年的恩施土家族苗族自治州,是共和国最年轻的自治州。它位于湖北省西南部,地处武陵山区腹地,北接举世闻名的长江三峡,南临湘西武陵源、张家界,东和湖北宜昌市接壤,西与重庆市为邻。全州国土面积2.4万平方公里,有土家族、苗族、回族、汉族等29个民族,总人口380多万,其中农村人口占85%以上,是湖北省唯一被国家纳入西部大开发范围的地区。近些年来,恩施州卫生系统在州委州政府和上级主管部门的正确领导下,认真坚持新时期卫生工作方针,全面实施“121”卫生工程,一手抓改革,一手抓发展,农村三级预防保健网络的整体服务、技术水平和保障能力稳步提高,各项卫生改革实践取得了令人瞩目的成绩。更新观念,明确农村卫生工作发展思路恩施州地方经济不发达,卫生事业发展面临着基础差、实力弱的境况,特别是1992年三权下放后,体制不顺,机制不活,卫生工作尤其是农村卫生工作被弱化,医疗质量下降,防保任务不能落实,三级网几近破溃,农村卫生迭入历史的最低谷,全州卫生事业面临发展困境。
Enshi Tujia and Miao Autonomous Prefecture, established in 1984, is the youngest autonomous prefecture in the Republic. Located in the southwestern part of Hubei Province, it is located in the hinterland of Wuling Mountain. It is connected to the world famous Yangtze River Three Gorges to the north, Wulingyuan and Zhangjiajie to the south, Yichang City to the east and Hubei, and Chongqing to the west. With a land area of 24,000 square kilometers, the entire state has 29 ethnic groups such as Tujia, Miao, Hui and Han. The total population is more than 3.8 million, of which the rural population accounts for more than 85%. It is the only area in Hubei Province that has been included in the scope of western development. . In recent years, under the correct leadership of the state party committee, state government, and higher authorities, the Enshi Health System has earnestly adhered to the principles of health work in the new era and fully implemented the “121” sanitation project, with one hand for reform, one for development, and three in rural areas. The overall service, technical level, and support capabilities of the preventive health care network have steadily improved, and various health reform practices have achieved remarkable results. Renewing concepts and clarifying the development thinking of rural health work The local economy of Enshi Prefecture is underdeveloped. The development of health care is faced with poor foundation and weak strength. Especially after the decentralization of the three powers in 1992, the system was not smooth, the mechanism was not alive, and the health work was especially The rural health work has been weakened, the quality of medical care has declined, the task of preventing and protecting health cannot be implemented, the three-level network has nearly collapsed, rural health has been superimposed to the lowest point in history, and the state’s health care industry is facing development difficulties.