扬州市邗江区乡镇预防保健体制改革两种模式的比较研究

扬州市邗江区1999年对全区21所乡镇卫生院进行了产权制度改革。改制前3年,实行“医防合一”体制,从2002年起实行“医防分设”体制。文章采用定性调查和定量调查相结合的方法,比较改革前后农村卫生体系和农村预防保键资源、组织机构、服务效率、监督执法力度、农民满意度等方面的变化。研究表明,“医防分设”是必由之路,为进一步改革和完善预防保健体系提供了依据。

Study on System-Reform of Prevention and Health Care in Villages and Towns in Hanjiang District of Yangzhou City

The property right system of all the 21 villages and towns hospitals in Hanjiang District of Yangzhou City was reformed in 1999.The system of combination administration of medical treatment and prevention was put into practice in the first three years of reformation.The system of separation administration of medical treatment and prevention has been carried out from 2002.This study compared the differences of these two patterns in order to provide theoretical basics for the reform and improvement of the prevention and health care system.The results of this study show that the system of separation administration of medical treatment and prevention put more attention on social benefits in prevention and health care,strengthening the service in public health and is highly affirmed by the whole society.