中文摘要：

目的：对基本药物制度实施后社区卫生服务（ CHS）中心卫生资源配置情况进行综合评价。方法采用秩和比法（ RSR）对山东省内所调查县（市）的社区2012年资源配置情况进行排序分档，并运用SPSS 19. 0统计软件对分档结果进行方差分析；结合重要性象限推导模型对资源配置与利用情况进行研究。结果 RSR分析结果显示，10地区CHS中心卫生资源配置评价结果可分为3档，其中上档地区2个，中档地区7个，下档地区1个。方差分析结果显示，各分档间差异有统计学意义（F=11.203，P=0. 007）。结合卫生服务利用情况综合评价可知，A、B、E3个地区CHS中心在保证卫生服务利用较为充分的前提下，卫生资源配置应优先得到重视。结论各中心资源配置水平相差不大，集中于中档水平；政府应保证对基本药物制度实施后CHS机构的财政支持力度，促进其合理配置卫生资源；CHS机构应依据自身规模和发展要求匹配足够的医疗设施和医务人员，不断提高自身服务质量和服务水平。

英文摘要：

Objective This study aims to comprehensively evaluate the allocation of health resources in community health service （CHS） centers after the implementation of the essential medicine system. Methods Shandong CHSCs＇ resources allocation conditions in 2012 were sorted and graded by the Rank Sum Ratio （RSR） method, and F test Was applied to examine the graded results using SPSS19.0, then the allocation and utilization of health resources were studied under important quadrant model. Results RSR analysis showed that the evaluation results of health resources＇ allocation of CHSCs in 10 counties could be divided into three levels （2 to the upper level, 7 to the middle level, and 1 to the lower level） . F test analysis showed that the differences between the three levels were of statistical significance （F = 11. 203, P = 0. 007） . Combined with the utilization - e- valuating outcomes of health care services, it＇s clear that the allocation of health care resources in the 3 counties A, B and E should be taken seriously as a priority, on condition that the health care services are fully utilized. Conclusion The differences between allocation levels of health care centers aren＇t significant, and are mostly included in the middle level group. The government should guarantee the financial support for CHSCs after the implementation of essential medicine system, and promote rational allocation of health care resources. To match their various sizes and developing requirements, CHSCs should build enough facili- ties and recruit more medical personnel in order to constantly improve their service quality levels.