我县地处浙江沿海,舟山市北部地区的一个海岛县,人口22万多。为了加强卫生事业科学管理,提高管理效能和医疗卫生工作服务质量,于1990年开始,在全县卫生系统实行综合目标管理责任制。经过几年的实践,收到了显著成效,现将有关情况介绍如下。 1 做法 1.1 把综合目标管理分为防疫、医疗、妇幼保健、行政管理、药品管理、初级卫生保健6个指标。共计得分值为100分,根据当年工作重点,并以科学测算,反复酝酿的办法,把分值分解到各个项目中,如1990年 My county is located on the coast of Zhejiang, an island county in the northern part of Zhoushan City, with a population of more than 220,000. In order to strengthen the scientific management of health services and improve the management efficiency and service quality of medical and health services, in 1990, a comprehensive target management responsibility system was implemented in the county health system. After several years of practice, we have received remarkable results. Now we introduce the situation as follows. 1 Practice 1.1 The comprehensive target management is divided into six indicators: epidemic prevention, medical care, maternal and child health care, administrative management, drug management, and primary health care. The total score is 100 points, according to the focus of the year’s work, and scientifically calculated, repeated brewing methods, the score is broken down into various projects, such as 1990