摘要
从城乡居民医疗服务需求出发,结合城乡卫生机构的性质、所承担的任务以及卫生资源利用状况,认为除部分城市医院盲目扩大规模、重复建设等原因外,城市卫生资源高于农村有其合理性,不能一概否定。居民对医疗服务的需求是配置卫生资源的基本前提。改变城乡卫生资源配置的“反差”是一项系统工程,需要很长的过程,只能随着农村经济的发展、农民收入的增加和医疗需求水平的提高而缩小“反差”;只能随着小城镇建设的进程、改变农与非农的二元结构,增加城市人口,减少农村人口,相对增加农村人口卫生资源占有量而缩小“反差”;只能随着卫生改革的深化、减少城市过剩资源和农村卫生投入的增加而缩小“反差”。
On optimizing the specialty and geographic distribution and utilization of health services in and between urban and rural areas, several points are discussed: as a program so large, immense, complicated, this can be carried out in an active, planned way but without expecting too much too soon; health care facilities will develop more rapidly in those rural sites where are growing population density, econmy, transportation, culture; expand community health education, network education, information exchanges to facilitate the spread of primary health care services, which provide routine care of common health problems, refer difficult cases to higher order health centers; promote flexible two - way referral system, cooperation, partnership in local and regional health network, with appropriate tasks assigned to those with comparative advantages; take administrative, managerial, financial, educational measures as levers to prevent urban congestion of health professionals with understaffing of rural areas; create conditions to translate medical Sci - Tech advances into initiative, imagination, motivation to substantially expand social and economic benefits of health services.
出处
《中国医院管理》
2000年第6期18-20,共3页
Chinese Hospital Management
关键词
城乡
卫生资源
资源配置
Urban and rural areas Health service resources Resources distribution
