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妇幼卫生服务由无偿向付费、半付费服务转化的一个可能结果是,预防性服务所受重视程度将会减低。可喜的是,在云南省几个县的调研表明,近年云南妇幼卫生系统实行的目标管理责任制在促使各级人员坚持预防性服务方面发挥了重要作用,云南省计生部门目标管理责任制也成绩斐然。在增大对生育健康服务投入的同时,坚持目标管理责任制将保证不断增加的投入发挥出更好的效益。
As a possible result of the transformation of MCH services from unpaid to paid and half-paid services, preventive services will receive less emphasis. Fortunately, research in several counties in Yunnan Province shows that the target management responsibility system implemented by Yunnan’s MCH system in recent years has played an important role in urging personnel at all levels to adhere to preventive services. The target management responsibility system of the family planning departments in Yunnan Province also scores Fantastic. While increasing investment in reproductive health services, insisting on the target management responsibility system will ensure that the ever-increasing investment will exert better benefits.