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1995年上海市召开了城区工作会议，提出卫生、文化、教育、科技、体育、司法“六位一体”进入社区为广大居民服务。瑞金地段医院继1994-1997年开展“发挥社区功能，开展优生优育”特色项目后，1998年进入第二阶段——“开展中心城区妇幼保健工作管理及服务模式研究”：探索在大力加强社区卫生服务及开展社区医疗服务点的同时，将妇幼保健融入整个社区卫生工作，使原来仅仅靠妇幼组负责的妇幼保健工作（条）改由整个社区医疗眼务点医务人员共同承担（块），如此率先进行了“条块结合”的妇幼保健新模式试点。总结两年的工作，体会到“条块结合”强化了社区妇幼保健工作，有利于对流动人口中孕妇及儿童进行深入管理。同时，为保证“条块结合”后的工作质量，必须对全科医生和妇幼保健人员进行再培训以适应新的社区卫生保健工作模式。
In 1995, the city held a working conference in urban areas and proposed that the “six in one” of health, culture, education, science and technology, sports and judiciary should serve the community. Following the special project of “giving play to the functions of the community and developing the prenatal and postnatal birth control” from 1994 to 1997, the hospital in Ruijin entered the second phase in 1998 - “to carry out research on the management and service mode of maternal and child health care in the downtown area: to explore ways and means of strengthening community health Services and community health service points, MCH should be integrated into the entire community health work so that maternal and child health care work originally conducted by the MCHR is shared by medical personnel in the entire community medical treatment center (block), and so on Took the lead in carrying out a pilot project of ”combining bar and block“ with a new model of maternal and child health care. Summing up the work for two years, I realized that ”combining bar and block“ has strengthened the work of maternal and child health in the community and is conducive to the in-depth management of pregnant women and children in the floating population. At the same time, general practitioners and MCH staff must be retrained to adapt to the new community health-care modalities in order to ensure quality of work after the ”tie-bar".