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近年来,随着农村经济承包责任制的广泛推行,农村合作医疗逐步解体。这种形势给防治工作带来了不稳定因素,特别是三级防治网最基层村一级趋于瓦解,就给全监工作带来了极大的不利。因为在农村全监工作中,乡村医生是直接面视用药监督者,失去乡村医生的监督用药,则农村全监工作难以推行。在这种新的农村形势下,全监工作还能不能坚持开展,如何巩固发展,成为我们面临的新课题。如何适应新形势,寻找新措施,新办法成为当务之急。为此,我县二年来作了初步探索,取得了一点不成熟的经验体会。
In recent years, with the extensive implementation of the rural economic contract responsibility system, rural cooperative medical care has gradually dissolved. This situation has brought precarious factors to prevention and control work. In particular, the level of the grassroots village in the tertiary prevention and control network tends to collapse, which has brought tremendous disadvantages to the entire supervision work. Because in rural full supervision work, rural doctors are directly supervising drug users, losing the supervision of village doctors, then the work of rural full supervision is difficult to implement. Under such a new rural situation, whether the full supervision work can be carried out persistently and how to consolidate development become the new topics we are facing. How to adapt to the new situation and find new measures, the new approach has become a top priority. To this end, my county made a preliminary exploration in the past two years, made a little immature experience.