| Rural hygiene work is a focal point of our hygiene works, which concerns to protect rural productivity, revitalize rural economy and maintain overall situation of rural social development. It has great meanings in improving the whole nation s quality. Since our reform and opening up to the outside world, the Party and government have taken a series of measures in order to strengthen the work of rural hygiene. Rural medicine state that is short of medicine and drugs receives obvious improvements, health level and average life expectancy of peasants have been improved a lot. However, as a whole, the rural hygiene work is still relatively weak. System reform lags behind, fund input is insufficient, the hygiene talent is deficient, infrastructures fall behind, the rural cooperative medical service faces a lot of difficulties, some regional infectious diseases and endemic diseases have seriously dangers and the problem that peasant is sent and returned to the poor due to illness is outstanding. This research is to pinpoint the problems, analyze reasons and study the countermeasure by investigating the rural third hygiene network. From reality of Shenyang, explore and implement diversified forms of methods to ensure peasants'health, improve the ability of rural hygiene integrated service constantly, offer the scientific decision basis for government of Shenyang to confirm the whole thought of the rural hygiene reform and development, to make corresponding reforming measures.MethodsThis investigation includes two contents: one is the hygiene resource distribution and current situation of the county, township, village tertiary hygiene institution ; the other is the investigation of the countryside residents hygiene demand and the current situation of utilizing hygiene.Adopt the document method, on - the - spot investigation method etc. U-sing the questionnaire that adopted and designed in unison, the investigation and data collection was carried on after training.Survey was carried on at county level hygiene and stratified cluster random sampling methods at rustic level. According to the economic level, hygiene resources and situation of utilizing, geographical position and administrative division partition, samples of townships and villages are ranked as good, middle, bad. We draw three townships from every county, three villages from each township and 20 families from each village at random as investigating sample. Thus 8 counties (the district) , 24 townships , 72 villages and 720 families altogether have been investigated.The investigation technology is undertaken and responsible for by the full -time staff. In order to guarantee that the data are intact and accurate, the investigation were carried on after the uniform training of investigators at Liaozhong county by village health technological personnel, meanwhile quality control was undertaken, all questionnaires and technological guidance were verified, and 5% of entering samples were checked again. There are five types of questionnaires and the amount are more than 1560 thousands. It is under the care of full - time staff that the data are inputted and checked.ResultsAfter investigating 16 county medical organizations we found the proportion that technical staff of hygiene accounts for the total number of person is coincidence basically with the situation of the whole province and the whole country. In recent years the main resource of county hospitals' revenue increasingly depends on business income and it accounts for more than 93% of total income. From 1998 to 2001 medical expense is raising year by year and drug expense changes more obviously from increasing gradually to decreasing which is correspondence with direction of drug institution reform advocated nowadays.There are 3691 persons working in county hospitals of Shenyang, in which health technological personnel are 2908 (78. 78% ), hard - working personneloccupy 9.94% and management personnel are 175 (4.47% ). In health technological persons of county hospitals, under... |
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