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四川省基层医疗卫生服务机构建设现状调查
  • ISSN号:1004-4663
  • 期刊名称:《中国卫生事业管理》
  • 时间:0
  • 分类:R195[医药卫生—卫生统计学;医药卫生—卫生事业管理;医药卫生—公共卫生与预防医学]
  • 作者机构:[1]四川大学华西公共卫生学院,四川成都610041
  • 相关基金:国家自然基金项目“基于ANP的基本公共卫生服务均等化过程评价模型构建与实证”(编号:71073043)
中文摘要:

目的:调查四川省基层医疗卫生服务机构的举办主体、卫生资源的配置情况及基本公共卫生服务的补助情况,发现其存在的问题,为进一步开展基层卫生服务工作提供依据.方法采用多阶段抽样的方法,在四川省随机抽取三个城市,再采用分层抽样(市、区/县、镇)方法从每个市中抽取7 ~12个社区卫生服务中心或乡镇卫生院,最终确定调查地点为26个医疗卫生服务机构.采用整群抽样方法,调查社区卫生服务中心卫生人员1044人,乡镇卫生院卫生人员447人,共计1491人.结果26家医疗卫生服务机构中,有21 (80.8%)家属政府办,5(19.2%)家属医院下设;有46.2%(12家)机构临床科室设置还不齐全,84.6%(22家)的机构预防保健科室设置齐全,50%(13家)的机构医技科室设置不全;建筑总面积为82491m 2,平均3172.7m2;社区卫生服务中心的正式人员占46.7%,临聘人员占52.3%;乡镇卫生院的正式人员占64.2%,临聘人员占35.8%;基层卫生人员中硕士学历只占0.6%,其次为本科学历,占16.5%,大专和中专人员相对较多.结论四川省基层医疗卫生服务已初具规模,但仍存在不完善的地方,政府需加大投入、完善相关政策、合理配置卫生资源.

英文摘要:

Objective To investigate the organizing body, the configuration of health resources and basic public health serv- ices, grants of primary health care institutions in Sichuan province, and findits problems in order to provide evidence for further ur- ban community health services. Methods A multi-stage sampling method is adapted to randomly select three cities in Sichuan Prov- ince, Chengdu , Neijiang, Nanchong perspectively, then using stratified sampling ( city, district/county, town ) method to extract from each city 7 to 12 community health service center or township hospitals, and ultimately determine survey sites as 26 medical and health services. Of 1044 health personnel in community health service centers,rid7 health personnel in township hospitals, and 1521 people totally are surveyed by a cluster sampling method. Results Of 21 (80.8%) families of government-run, five ( 19.2% ) family consists of hospitals in 26 medical and health services. The46.2% (12) institutions are not complete institutional clinical departments ,84.6% (22) preventive health care institutions departments are set up completely, and 50% (13) of the institutions set up medical departments insufficiently. Total construction areas are 82491m2 ,3172.7m2 on average. The official personnel ac- counts for 46.7% in community health service centers,52.3% of temporary recruits,whereas official staff accounts for 64.2% in township hospitals,35.8% of temporary recruits. Masterg degree in primary health centers are only 0.6% ,followed by undergradu- ate degreewith 16.5%. College and secondary school personnel are relatively high. Conclusion The primary health care has been build roughly in Sichuan, but there are still imperfections. The governments need to increase investment, revise relevant policies and allocate the health resources rationally.

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期刊信息
  • 《中国卫生事业管理》
  • 北大核心期刊(2011版)
  • 主管单位:四川省卫生厅
  • 主办单位:四川省卫生事业管理杂志社
  • 主编:范昕建
  • 地址:四川省成都市下汪家拐街19号
  • 邮编:610041
  • 邮箱:wssyglgj@wssygl.com
  • 电话:028-86126443
  • 国际标准刊号:ISSN:1004-4663
  • 国内统一刊号:ISSN:51-1201/R
  • 邮发代号:62-66
  • 获奖情况:
  • 2000年荣获四川省第二届优秀期刊奖,2001年被科技部、卫生部等单位确定为中国生物医学...
  • 国内外数据库收录:
  • 中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:24850