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根据山东省108个县(市、区)的初级卫生保健评审记录资料,对试点、普及两阶段各指标进行比较分析,发现试点阶段评审结果好于普及阶段;随着初级卫生保健工作的深入开展,甲级村卫生室占集体办村卫生室比例、集资医疗保健覆盖率、“卫生厕所”普及率、孕产妇保健等指标较试点阶段得到较大提高,尤其政府投入比例有较大提高;“卫生厕所”改造、集资医疗保健等难点尚未根本解决。建议加强宣传教育,突破难点,加强规范性管理,保证各项措施落实到位。
According to the records of primary health care evaluation records of 108 counties (cities, districts) in Shandong Province, the pilot and universal two-stage indicators were compared and analyzed, and it was found that the results of the pilot phase assessment were better than the popularization phase; with the development of primary health care work Class A village clinics accounted for the proportion of collectives and village clinics, fund-raising coverage for health care, health toilets, maternal health, and other indicators have been greatly improved compared with the pilot phase, and government investment has been greatly improved; The difficulties in the transformation and financing of health toilets have not yet been fundamentally resolved. It is recommended to step up publicity and education, break through the difficulties, strengthen normative management, and ensure that all measures are put in place.