城乡基层卫生服务机构预防保健功能比较分析

目的：比较我国城乡基层卫生机构预防保健服务功能开展现状,提出缩小城乡预防保健功能差距的建议。资料和方法：分析全国第四次卫生服务总调查数据。结果：城市社区卫生服务中心、农村乡镇卫生院预防保健服务功能整体差距,随着项目优先次序的下降而逐渐扩大。其中,计划免疫农村乡镇卫生院高于城市社区卫生服务中心;慢病管理随着项目重要性提高,差距反而逐渐增大;健康教育二级项目城乡差距最大。建议：为缩小城乡预防保健差距,应采取多项农村支持政策。

Comparative analysis of preventive health care function of the primary health providers between urban and rural areas

Objective： This article aims to compare the current situations of the preventive health care function in urban and rural China and proposes some suggestions to decrease the gap between them. Data： The data is from the fourth national health services survey. Results： The overall gap between urban community health centers and township health centers expands with the declining of priority order. The health centers in urbans exceed those in ru- ral towns in terms of the national planned vaccines; the gap is enlarged in the chronic diseases management with the increasing of priority order; the maximum gap in the health education is in the second priority. Recommendations： In order to reduce the gap in terms of preventive care, the authority should take many steps to support the rural area.