以健康体检为纽带的浙江农村两地卫生服务的调研

Rural health service centering on routine health examination

浙江省推出以农民健康体检为纽带的基层卫生服务策略，并取得了一定成效。为进一步评估该策略取得的成效和存在的问题，探讨农村卫生的可持续发展，我们选择嘉兴平湖和台州仙居两地进行调研。调查结果表明，以农民健康体检为纽带的基层卫生服务策略在改善医患关系、促进农民健康理念、控制慢性病等方面起到了明显作用，对基层卫生机构和卫生人员服务观念与方法产生了较大影响。同时也存在一些问题，需要政府支持、项目改进、资源优化来保证农村卫生服务的可持续发展。

Zhejiang province takes an innovative approach in its rural health service strategy featuring routine health examination, which proved an initial success. Intending to assess the effect and dilemma of such a system, and seek sustainable development in future, we made investigations in Pinhu and Xianju in Zhejiang province. Overall, rural health service strategy based on rural health routine examination, to some extent, improved patient-physician relationship, changed and strengthened their rural health concepts, and upgraded non-communicable disease control. Furthermore, the practice has economically and socially influenced rural health service institutions and rural physicians in terms of their concepts and methodology. There are also setbacks and problems in need of government support, programme improvement and resource optimization for further sustainability.