农村社区卫生服务可持续发展对策研究

发展农村社区卫生服务有利于减轻县级医院的负担、控制农村医疗费用、合理配置农村卫生资源及推进农村公共卫生计划。然而,由于农村社区卫生服务发展的观念滞后、农村社区卫生资源缺乏且服务水平低下和农村社区卫生服务中基本医疗项目纳入新型农村合作医疗保障的比例偏低,以及农村社区卫生服务相关的制度建设滞后,我国农村社区卫生服务发展缓慢。为了实现农村社区卫生服务的可持续发展,要创新农村社区卫生服务观念、建立合理的农村社区卫生服务筹资机制、加强农村社区卫生服务人力资源队伍建设和提高农村社区卫生服务质量。     

农村社区卫生服务可持续发展对策研究

发展农村社区卫生服务有利于减轻县级医院的负担,控制农村医疗费用,合理配置农村卫生资源及推进农村公共卫生计划。然而,由于农村社区卫生服务发展的观念滞后,农村社区卫生资源缺乏且服务水平低下,农村社区卫生服务中基本医疗项目纳入新型农村合作医疗保障的比例偏低以及农村社区卫生服务相关的制度建设滞后,我国农村社区卫生服务发展缓慢。为了实现农村社区卫生服务的可持续发展,要创新农村社区卫生服务观念,建立合理的农村社区卫生服务筹资机制,加强农村社区卫生服务人力资源队伍建设和提高农村社区卫生服务质量。     

医院集团中的社区卫生服务机构与医院的协调

我国城市社区卫生服务发展的障碍之一是城市社区卫生服务机构与医院存在功能冲突。两者功能冲突表现在由于双方利益冲突、社区卫生服务机构自身不健全、缺乏双向转诊的技术标准、缺乏外部监督和约束而导致的双向转诊制度的失败。在市场作用基础上,政府引导建立集团化模式的协调机制,运用利益协调、组织协调、程序协调和战略协调,能够较好地解决两者功能冲突,促进社区卫生服务发展。     

杭州市社区卫生资源配置现状分析与政策建议

目的:了解当前杭州市社区卫生服务卫生资源的状况,并提出对策建议.方法:对杭州社会经济发展和杭州市卫生局社区卫生服务统计信息进行全面调查与分析.结果:农村社区卫生资源总量较少,医护人员专业素质和水平较低,社区卫生补偿机制不健全.结论:将财政投入倾斜农村社区卫生服务,加强社区卫生服务才人队伍建设,改革城乡社区卫生服务的补偿机制.     

军队爱国卫生工作机制浅析

目的为科学地指导爱国卫生工作,提高军队爱国卫生工作水平。方法通过运用结构与功能、系统与要素和“三个变量”关系的现代管理知识,结合部队实际,研究军队爱国卫生工作的运转机制,分析军队爱国卫生工作体系中诸系统之间的关系。结果在理论和实践的结合上,明确了军队爱国卫生工作系统的构成,爱国卫生工作系统功能的开发,提高爱国卫生工作艺术。结论科学的爱国卫生工作机制的构建与实践,将有利于促进军队爱国卫生事业的发展。     

十年磨一剑——章丘市人民政府副市长巩宪群谈农村卫生经验

农民的健康是三农工作的重要内容。章丘市以实施初级卫生保健为目标，以推行新型农村合作医疗制度为重点，以开展农村社区卫生服务为突破口，全面推进医疗机构改貌等系列“农民健康工程”，先后获得全国农村中医工作建设先进市、山东省农村卫生工作先进市、爱国卫生先进市等30余项荣誉。     

天津市农村居民卫生知识知晓及社区卫生服务利用情况分析

<正>我国社区卫生服务发展10多年来,在方便群众就医、落实预防保健任务和减轻疾病负担方面起到了积极作用。但相对于城市来说,农村地区的社区卫生服务还存在服务覆盖范围较广、服务功能单一、卫生人力资源不足及服务质量较低等问题。本文旨在研究天津市农村社区卫生服务的提供及需求情况,以期为完善农村地区的社区卫生服务工作提供依据。1对象与方法     

龙游县城乡社区卫生监督协管工作探讨

龙游县自2006年始推行社区卫生服务中心和社区卫生服务站的联村责任医生与驻村责任医生“责任医生制”，建立“条块结合，分片包干、团队合作、责任到人”的工作机制，加强了社区公共卫生服务。社区卫生监督协管作为社区公共卫生服务内容之一，实施近2年来整合了农村公共卫生服务资源，加强了农村基层卫生监督工作。     

对农村爱国卫生工作的调查与思考

党的十六届五中全会提出了建设"生产发展、生活宽裕、乡风文明、村容整洁、管理民主"的社会主义新农村的决策部署,明确了当前和今后一个时期农村建设与发展的前进方向,也为新时期农村爱国卫生工作提出了新要求。农村爱国卫生工作作为新农村建设的重要内容,如何在新农村建设进程中发挥作用,是摆在各级政府和部门面前的一项重要而紧迫的任务。为此,我们组织人员对农村爱国卫生工作进行了调查,并进行了分析和探讨。     

崇义县开展农村社区服务试点的情况与思考

[目的]通过对江西崇义县开展农村社区服务试点工作的调研,对深入开展农村社区卫生服务工作进行思考与展望。[方法]调研崇义县开展农村社区服务试点工作的情况。[结果]发展农村社区卫生服务是一项亲民惠民工程,值得因地制宜,分类指导,扎实推进。同时,此项工程从试点到广覆盖还存在些问题。[结论]发展农村社区卫生服务应从社区卫生团队建设、加大投入、建立长效机制、完善服务项目等方面进行加强。     

Ecosystem health and human health

The study of ecosystem health is a relatively recent discipline that has already provided new insights into numerous aspects of environmental management. One of the most interesting fields of study is the one investigating the relationships between ecosystem and human heath. In this paper some basic terms of reference are given in order to help the understanding of this new approach. One definition of ecosystem health is given, possible causes of degradation are indicated and links with human health are addressed. The ecosystem approach to human health stresses the importance of cultural and social values in shaping the concept of health, both at human and at ecosystem level. Two case-studies showing man-ecosystem interactions are described: mining activities, that provide a suitable field of application of the ecosystem approach, and the case of malaria and DDT, that shows the risks of certain policies neglecting basic human expectations such as health. As a conclusion, some suggestions for possible research activities are given and a few recommendations for sound public health policies are indicated.     

Communicating health through health footprints

The depth and scale of challenges posed by noncommunicable diseases such as diabetes mellitus and cardiovascular disease are now well known and clearly documented. Reducing the 4 key risk factors has been shown to reduce premature mortality and morbidity by 70% globally. The authors consider how affirmative action can be driven to reduce these risk factors through Health Footprints, targeted interventions within specific domains of consumption, on the basis of an assessment of the negative health effect of specific choices, with the goal of driving healthy choices and improving health. In this article, the authors propose a methodology that ties together insight from public health, behavioral economics, marketing, and health communication. They offer 3 specific examples for affirmative action: a Pigovian tax on unhealthy foods, group-level interventions on the basis of sharing key health data, and personalized prevention tailored to specific individuals. In addition, they discuss the approach to implementation, including the role of an apex coordinating organization in setting standards for data and ethics, and evaluation of the effect of interventions to drive continuous improvement.     

Community health and foot health

The limiting factor in health and mobility for many seniors is the state of their feet. The origins of their foot problems can often be traced back to childhood and years of wearing badly fitting or inappropriate footwear. Well-fitting footwear is essential if mobility and independence are to be retained. The chiropodist (or podiatrist) is a health professional specializing in the treatment of conditions of the foot. Some common foot conditions, together with their treatments, are described. Although numbers of chiropodists in Canada are limited, their role is being increasingly recognized in maintaining or restoring mobility, and also their place in the community health team.     

Oral health and systemic health

Certain cancers, hypertension, diabetes, leukemia, gastrointestinal disorders, osteoporosis, and HIV and other infectious diseases can manifest themselves in the oral cavity. In addition, some of these conditions and the therapies for them can affect the teeth and mouth. This article outlines what physicians should know about how certain medical conditions and medications can affect dental health and treatment, how dentists can help detect underlying medical conditions, and how the two professions can better serve patients by working together. placement of implants, periodontal surgery, endodontic treatment, or subgingival manipulation. Physicians should be aware of potential complications from dental treatment, inform patients of the risks, and communicate to the patient's dentist about the patient's physical status, the extent to which his or her condition is under control, and how to prevent complications. The following examples illustrate the need for such interaction between physicians and dentists.