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目的掌握新疆乡村卫生服务一体化管理实施现状及现存模式,为构建新疆乡村卫生服务一体化管理适宜模式提供政策建议。方法采用问卷调查的方法,对新疆东、南、北疆9县(市)的27个样本乡镇卫生院、54个样本村卫生室进行典型调查。结果新疆乡村卫生服务一体化管理还未实现完全规范化、统一化。模式有高度一体化、中度一体化和低度一体化3个层次。结论加大对新疆特别是对南疆贫困地区的财政投入,加强乡村医生培训,提高乡村医生待遇,合理设置村卫生室编制及制定村卫生室公用经费标准细则。
Objective To grasp the status quo and existing modes of the integrated management of rural health services in Xinjiang and to provide policy recommendations for establishing an appropriate mode of integrated management of rural health services in Xinjiang. Methods By means of questionnaire survey, 27 sample township health centers and 54 sample village clinics in 9 counties (cities) of east, south and north Xinjiang were surveyed. Results The integrated management of rural health services in Xinjiang has not yet been completely standardized and unified. Modes are highly integrated, moderately integrated and lowly integrated at three levels. Conclusions Increased financial input to Xinjiang, especially to poverty-stricken areas in southern Xinjiang, strengthened the training of rural doctors, improved the treatment of rural doctors, and set the standard rules for setting up public health clinics in village clinics.