中国民族地区公共卫生服务项目的实施成效及优化对策
The Implement Achievements and Optimizing Strategy to Regional Public Health Service
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초록
研究目的:中国全面推进基本公共卫生服务,实现健康中国战略。本文通过调查,分析民族地区公共卫生服务项目的实施成效并提出优化对策。研究方法:本文主要使用了实地调研和访谈法,收集一手资料,总结现状,发现存在问题并提出了优化对策。研究内容:围绕妇女公共卫生服务项目,主要从孕产妇死亡率、孕产妇健康管理、免费孕前健康管理、计划生育水平、“两癌”筛查工作、电子信息管理、考核制度等9个方面阐述了目前的现状。研究发现在公共服务领域里存在高层次人才严重匮乏、考核指标缺乏针对性、孕前和婚前检查重视度不够等问题。结论与建议:妇女公共卫生服务项目实施效果显著,但也存在一些问题。根据调查结果本文提出了要加大宣传力度和资金投入,加强公共卫生人才队伍建设,完善乡村级考核制度等建议。
Abstract
China is boosting basic public health service across the board to realize Healthy China Initiative. This article surveys to analyze the implement achievements of regional public health service and comes up with optimizing strategies accordingly. This study applies research method such as investigation and interviews, collecting source material to summarize what the current situation is, based on which existing issues were raised and corresponding measures are proposed. The study focuses on public health service for women and illustrates this situation through nine aspects: maternal mortality rate, maternal health management, free pregnancy health management, family planning level, screening of cervical carcinoma and breast carcinoma, electronic information management, performance assess, etc. It was found that there exists issues like serious lack of high-level personnel, short of pertinence in performance assess and less emphasis given to medical examination before marriage and pregnancy. Public health service for women has been carried out effectively, however, potential issues are also born with it. Based on what had been surveyed, proposed solutions are as follows: strengthen the development of talents in public health service and improve appraisal system around rural areas.
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