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本文选用与乡镇卫生院医疗服务有关的49项指标,分析了能兼顾社会效果和自身利益的乡镇卫生院的生存和发展特点,发现此类卫生院的人员结构、服务项目和技术装备与该地到县城医疗中心就医方便程度之间呈现明显的规律性。据此提出了乡镇卫生院的适宜规模和适宜技术的参照标准。建议在医疗服务方面,乡镇卫生院应确立以门诊服务为主的观念、重点加强那些县城医疗中心就医难度大地区的乡镇卫生院。
This article selected 49 indicators related to the medical services of township hospitals, analyzed the characteristics of survival and development of township hospitals that can take into account social effects and self-interests, and found that the personnel structure, service items and technical equipment of such hospitals and the There is a clear regularity between the convenience of visiting the county medical center. Based on this, the reference standards for the appropriate scale and appropriate technologies of township hospitals were proposed. It is recommended that in the area of medical services, township hospitals should establish concepts that focus on outpatient services and focus on strengthening township hospitals in difficult-to-medical areas in county-level medical centers.