Berkeley J S
J R Coll Gen Pract. 1979 Sep;29(206):530-3.
I describe a systematic method of planning primary medical services for Bhutan in the light of the needs of the community and coping with current problems which include an infant mortality rate of 153. Objectives were defined which included decentralizing decision taking as much as possible by establishing relatively independent health units consisting of a team of three staff caring for about 10,000 people.I believe that the principle of adapting health services to meet the needs of the local community is equally valid in the United Kingdom.
我阐述了一种根据不丹社区需求来规划初级医疗服务的系统方法,以应对当前存在的问题,其中包括婴儿死亡率达153这一情况。确定了目标,包括通过建立由三名工作人员组成的团队、负责照顾约10000人的相对独立的卫生单位,尽可能实现决策权力下放。我认为,使卫生服务适应地方社区需求的原则在英国同样适用。