重庆市社区卫生服务机构发展现状及服务提供情况调查研究  

Investigation on present development and service offering condition of community health service institutions in Chongqing city

作　　者：刘卫平[1] 冉明会[1] 王润华[1] 张旭东[1] 董蜀荣 

机构地区：[1]重庆医科大学公共卫生学院卫生统计教研室,重庆400016 [2]重庆市卫生局,重庆400016

出　　处：《重庆医科大学学报》2008年第4期465-468,共4页Journal of Chongqing Medical University

基　　金：重庆市软科学项目“重庆市社区卫生服务现状调查及发展对策研究”编号:CSTC,2006EB9031

摘　　要：目的:评价重庆市社区卫生服务机构发展现状和服务提供情况,找出存在主要问题,提出解决的政策建议。方法:对重庆市35个区县的社区卫生机构普查;对主城区社区卫生机构分层随机抽样调查,并对负责人进行个人深入访谈。结果:重庆市已基本建立起新型城市两级医疗卫生服务体系,但仍存在以下问题:社区卫生服务机构总体数量不足;社区卫生服务站的基础建设较差;以药养医、以医养防现象较普遍;公共卫生服务弱化,双向转诊上转易下转难等。结论:目前应加大政府投入力度,完善投入管理和监督机制;加强社区卫生服务基础建设;进一步完善人才培养制度;建立社区卫生服务地理信息系统,完善转诊服务政策制度。Objective：To evaluate the present development and service offering of community health service（CHS） institutions in Chongqing City,to find the main problems at present, and provide the solving proposal. Methods：All the CHS institutions in 35 counties of Chongqing were surveyed;the CHS institutions of main city zone were investigated by stratified random sampling, and their principals were interviewed. Results：The new health service system of two levels have been established,but there are still several problems. The total number of CHS institutions is inadequate,Foundational construction of CHS station is not good. It＇s widespread that CHS institutions support their medicine sevice with drugs-income and their public heath sevice with medicine-income. The public health sevice is weakened. For the dual referral system,it＇s easy to refer up and hard to refer down. Conclusion：At present government should increse finance aid,improve management and monitor mechanism, strengthen the foundation construction,and further consummate the training system of personnel,and a GIS System should be built to help improve the Dual Referral System.

关 键 词：重庆市 社区卫生服务 机构发展 服务提供 

分 类 号：R197.6[医药卫生—卫生事业管理]