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30多年前,国内有一句很流行的口号:卫生工作 的重点在农村。记得当时城里的大小医院纷纷组织医 疗队,上山下乡,送医送药,帮助农材建立合作医疗 组织,培训赤脚医生,轰轰烈烈,很是“运动”了一 番。老话说“三十年河东,三十年河西”,不想才过了 一个30年,事情便回到了出发点。在10月29日召开 的全国农村卫生工作会议上,党中央、国务院又重提 卫生工作的重点向农村倾斜。 当然,此倾斜与彼倾斜大不一样。最根本的区别 就在于,今天的农村卫生工作已成为全面建设小康社 会的重要组成部分,其目标是要在全国农村基本建立 起适应社会主义市场经济体制要求和农村经济社会发 展水平的农村卫生服务体系和农村合作医疗制度。这 样的提法,与30年前显然不可同日而语。但区别归区 别,若就对象而言,30年前的重点与30年后的倾斜又 有许多共同之处:从总体上看,农村工生工作仍比较 薄弱,体制改革滞后,资金投入不足,卫生人才匮乏, 基础设施落后,农村合作医疗面临很多困难,一些地 区传染病、地方病危害严重,农民因病致贫、返贫问 题突出等等。
More than 30 years ago, there was a very popular slogan: the focus of health work was in rural areas. I remember when the size of the hospital in the city hospitals have organized medical teams, going to the mountains and going to the countryside, sending doctors and medicine to help establish agricultural cooperatives medical organizations, training barefoot doctors, vigorous, it is “movement” a lot. The old saying goes, “Thirty years Hedong, Thirty years Hexi”, do not want to pass a 30 years, things will be back to the starting point. At the National Conference on Rural Health Work held on 29 October, the Central Party Committee and the State Council re-emphasized the health work to the rural areas. Of course, this tilt and his tilt is very different. The fundamental difference lies in that today’s rural health work has become an important part of building an overall well-to-do society with the goal of basically establishing a rural health service that meets the requirements of the socialist market economic system and the level of rural economic and social development in the rural areas throughout the country System and rural cooperative medical system. This formulation, apparently not the same as 30 years ago. However, if the differences are different, if the target is concerned, the focus 30 years ago and the inclination after 30 years have many things in common: Generally speaking, the work of rural workers is still relatively weak, the reform of the system lags behind, the capital investment is insufficient, Lack of talented medical personnel, backward infrastructure, and difficulties faced by rural cooperative medical care. In some areas infectious diseases, serious endemic diseases, peasants becoming poor due to illness, prominent problem of returning to poverty and so on.