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在推行儿童计划免疫合同制和母子系统管理的工作中,笔者综合了一部分卫生管理、防保、乡村医生、接生等人员的意见,认为当前基层的防疫保健工作主要存在以下三方面的问题。一、防保组织上分、下散、中间弱,防疫与保健工作脱节当前,县级防疫、保健组织分开管理,面对高标准的防保任务都感到人、财、物不足。乡级防保组织人数较少,机构不健全,其中保健人员还承担临床业务。村一级防疫工作以负责计免的乡村医生为主,保健工作由接生员承担。这就形成了一个上分、下散、中间弱的局面,加上两个专业不能很好
In the work of implementing the child immunization contract system and the management of the parent subsystem, the author integrated the opinions of some health management, health insurance, rural doctors, and birth attendants, and considered that there are mainly the following three problems in the current grassroots epidemic prevention and health care work. First, anti-insurance organizations are divided up and down, scattered and weak in the middle, and the epidemic prevention and health care work are disconnected. At present, the county-level epidemic prevention and health care organizations are separately managed, and people, finances, and materials are insufficient in the face of high standards of anti-prevention tasks. The number of township-level anti-insurance organizations is small, and the institutions are not perfect. Health-care personnel also undertake clinical operations. The village-level epidemic prevention work is based on rural doctors who are responsible for the exemption and the health care work is carried out by the birth attendant. This creates a situation in which the points are divided up, scattered, and weak in the middle, and the two majors are not very good.