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目前有些地区将预防保健组织从乡镇卫生院中分离出来,单独设立防保所,即建立一种形式上的乡镇防保实体组织,让它承担所在地区的预防保健工作。这样做能否达到加强农村预防保健工作的目的?到底是利多弊少、还是利少弊多?这是预防保健体制改革中值得重视的问题。最近,笔者带着这个问题,深入乡、村两级,进行了认真的调查研究。根据调查结果,笔者认为乡镇不宜单设预防保健机构。一、从乡镇卫生院的基本职能来看,将防保工作分离出去,违背了乡镇卫生院的性质和特点,阻碍了乡镇卫生院这个农村三级医疗卫生网的建设和发展,影响了卫生系统管理的综合效应。农村卫生院基本上是与农村乡镇行政区划相适应的卫生事业单位,它处于县、乡、村三级医疗卫生网的中间层次,是连接县级医疗卫生机构和村级卫生组织的枢纽。中心卫生院和乡镇卫生院既要给
At present, some regions have separated preventive health care organizations from township health centers and set up a separate prevention and control station, that is, establish a form of township prevention and protection entity organization, so that it can undertake preventive health care work in the region. Whether this can achieve the purpose of strengthening prevention and health care in rural areas? In the end, there are many advantages and disadvantages, and there are too many advantages and disadvantages. This is a problem worthy of attention in the reform of preventive health care system. Recently, with this problem, the author went deep into townships and villages and conducted serious investigation and research. According to the survey results, the author believes that townships and towns should not set up preventive health care organizations. 1. From the perspective of the basic functions of township health centers, the separation of prevention and control work violated the nature and characteristics of township health centers, hindering the construction and development of rural health centers, a three-tiered rural medical and health network, and affecting health systems. The overall effect of management. The rural health center is basically a health institution that adapts to the rural township administrative divisions. It is at the middle level of the county, township, and village medical and health networks. It is the hub connecting the county-level medical and health institutions and village-level health organizations. Central hospitals and township hospitals must give