农村公共卫生体系的现状分析及对策构想.pdfVIP

【公共卫生管理】 中国卫生事业管理2006年第11期(总第221期) 农村公共卫生体系的现状分析及对策构想* 林光祺 (安徽财经大学财政与公共管理学院，安徽蚌埠233041) [摘要】在医疗服务机构实行市场导向化改革的背景下，城乡医疗服务行为模式发生了重大变化，广大农民尤其是 贫困地区的农民对于医疗服务的可及性下降，“因病致贫、因病返贫”凸显出农村公共卫生体系的脆弱。文章在肯定既有 成就的同时，认为投入不足、利用能力下降、资源配置不均、结构不合理是农村公共卫生体系建设中面临的困境与挑战。 在此基础上，提出预防、保障与外部参与共同发力的对策构想。 [关键词]农村公共卫生体系；成就；困境；对策构想 669 [中图分类号]D [文献标识码]A [文章编号]1004—4663(2006)11—0689—03 ofSituationofRuralPublicHeath andIdeaofCountermeasure．ILinChineseHealthSer- Analysis System Guangqi／／The vice Management Abstract the of of Under reform formedicalinstitutes．thereare formedicalservice background marketing-oriented greatchanges modelinruralandurbanaress．The tomedicalservicefor forfarmersin areasis accessibility farmers，especiallypoor declining．Being fordiseasesand fordiseasesshowtheweaknessofrural health affrrmed poor beingagainpoor paper achievement。and public system．The atsame thatinstdtlcient time，it financial ofutilization。unbalanceddistributionofresourcesandirrationalcon· thorIght support，decrease structionweredifi％ultlesand rural health forward8．nideaofcountermeasurethat system challengespublic hcing．Thepaperput preven— andexternal shouldwork tion，guarantee participation tngether． Schoolof AⅢ雠’address FinanceandPublic of Province。 Management．AnhuiUniversity P．R．China． wordsRural health Achievement Ideaofcou