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1978年9月通过的阿拉木图宣言,提出了“2000年人人健康”的口号,为了实现这一目标,世界各国决定加强初级卫生保健。在日本,由于都市与农村保健需求的多样化,采取的对策也各不相同。本研究以了解社区(自治体)、生产集团、每个人的健康状况为基础,并结合影响健康的生活、生产环境与行政服务,医疗服务状况等因素,综合探讨了它们与健康的关系,相应的对策以及在初级卫生保健中起主导作用的居民,对整体医疗体制自觉参与的状况。所谓整体医疗即针对社区、家庭、个人的需求,所实施的保健、预防
The Almaty Declaration adopted in September 1978 proposed the slogan “Health for All in 2000”. To achieve this goal, countries around the world decided to strengthen primary health care. In Japan, due to the diversification of urban and rural health care needs, the countermeasures adopted vary. This study is based on the understanding of the health status of the community (local government), the production group, and everyone, combined with factors affecting health, production environment, administrative services, and medical service conditions, and comprehensively discusses the relationship between them and their health. Countermeasures and the residents who play a leading role in primary health care, and participate in the whole medical system consciously. The so-called overall medical care is the needs of the community, family, and individual.