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目的:了解我国农村地区基本卫生保健工作的现状,以及在新世纪第一个十年中取得的成绩和存在的问题,为进一步推进农村基本卫生保健工作提出有针对性的政策建议。方法:按照分层抽样的方法,在全国选择400个县级行政单位,收集当地农村基本卫生保健工作的相关数据。结果与发现:(1)农村基本卫生保健工作得到政府重视,但财政保障仍不足;(2)乡村两级医疗卫生服务体系建设仍需不断完善;(3)基本公共卫生服务在医改政策推动下进展明显,后续要加大力度推进;(4)新型农村合作医疗制度不断完善;(5)基本药物制度实施使基层医疗卫生机构面临发展困境。
OBJECTIVE: To understand the status quo of basic health care in rural areas in our country, as well as the achievements and existing problems in the first decade of the new century, and make targeted policy recommendations for further promoting the basic health care in rural areas. Methods: According to the stratified sampling method, 400 county-level administrative units were selected across the country to collect relevant data on basic rural health care in local areas. Results and findings: (1) The basic health care in rural areas has received the attention of the government, but the financial security is still not enough; (2) The construction of rural health service system needs to be improved; (3) The basic public health service (4) The new rural cooperative medical system has been continuously improved; (5) The implementation of the basic drug system has caused the primary medical and health institutions to face the dilemma of development.