近几年来,河北、吉林、山西等省的一些城市,为了贯彻预防为主的卫生方针,适应医学模式的转变,加强预防保健工作,在城市卫生工作改革中,实行以医院为中心扩大预防保健,取得了明显效益。一、改革的具体做法 (一)医院建立预防保健组织为加强城市基层预防保健工作,实行以医院为中心的地段预防保健责任制。凡是城市驻地各类各级医院,都必须建立预防保健科(所),承担所辖地段妇幼保健、计划免疫、卫生防病、老年保健等预防保健任务。吉林省四平市各类各级医院建立的预防保健所还开设了 In recent years, some cities in Hebei, Jilin, Shanxi and other provinces have implemented the principle of prevention-oriented health, adapted to the change of medical models, strengthened prevention and health care work, expanded the prevention and care centered on hospitals in the reform of urban health work , Has achieved significant benefits. First, the specific practices of reform (a) the establishment of preventive health care organizations in hospitals to strengthen urban grass-roots preventive health care, the implementation of the hospital-centered lot of preventive health responsibility system. All types of hospitals in urban areas and hospitals at all levels must establish a preventive health care department (or department) to undertake preventive health care tasks such as maternal and child health, immunization, health and disease prevention, and geriatric health care for the districts under their jurisdiction. Siping City, Jilin Province, all kinds of hospitals at all levels to establish preventive health care also opened