乡村基层公共卫生服务与乡村医生队伍建设问题探讨

Discussion on primary public health service and rural doctors’team construction

乡村医生(简称“村医”)和乡村基层卫生机构承担了我国农村公共卫生体系网底的重要职责,在广大农村地区的公共卫生体系建设中发挥着基石作用。但目前,很多地区的乡村基层公共卫生服务面临基础条件差、人员队伍薄弱、服务难以有效开展等问题。本文通过对各地乡村公共卫生服务情况的调研和相关文献检索,识别当前乡村基层公共卫生服务开展和村医队伍发展面临的若干问题,为健全广大乡村地区公共卫生体系建设及制定相关政策提供参考。

In China,rural doctors and primary health institutions take important responsibilities as the basic of public health system.They play the fundamental role in the construction of public health system in the rural area.However,primary public health is facing the challenge of poor infrastructure,weak human resources,and inefficient services in most areas.We employed field investigation and literature review to identify major problems on the implementation of primary health service and the development of rural doctors’team.The recommendation in this study might provide scientific evidence to improve the construction of public health system and policy-making in rural area in China.