我国基层卫生机构服务功能分析  

An analysis of the functions of primary health care providers in China

作　　者：孟庆跃[1] 袁璟[1] 侯志远[1] 钟爽[1] 赵苗苗[1] 孙晓杰[1] 曲江斌[1] 

机构地区：[1]山东大学卫生管理与政策研究中心卫生部卫生经济与政策研究重点实验室,山东济南250012

出　　处：《中国卫生政策研究》2009年第11期1-6,共6页Chinese Journal of Health Policy

基　　金：卫生部统计信息中心和美国中华医学基金会资助项目:国家第四次卫生服务总调查专题研究

摘　　要：基层卫生机构功能决定着基本卫生服务的供给。本文利用国家第四次卫生服务总调查以及专题调查资料,对城乡基层卫生机构服务开展情况进行了分析。根据经济社会发展水平、基层卫生机构服务能力和城乡居民需要解决的主要健康问题,本研究将基本卫生服务项目按照优先程度分为三个等级。约三分之一的城乡基层卫生机构尚不能提供最应优先开展的基本卫生服务;农村基层卫生机构服务能力与城市基层卫生机构相比更为薄弱,特别是村级卫生机构基本卫生服务能力需要加强;乡镇卫生院和社区卫生服务中心开展最优先项目的比例均不足70%;村卫生室和社区服务站开展最优先项目比例分别为62%和77%。影响基层卫生机构功能的主要因素为人员数量不足、人员能力不够、缺乏运转资金等。需要以基层卫生机构功能建设为核心,创新我国基本医疗卫生保健体系。The provision of basic health care is largely determined by functions of primary health providers. This paper analyzes the situation of primary health providers using the data from the 4th National Health Services Survey and a specific survey. All health services are categorized into three groups according to their priorities for delivery. About 1/3 primary health providers in both rural and urban areas cannot provide the top priority of health care, rural health providers are weaker than urban primary health providers in deliverying basic health care. Rural township health centers and urban community health centers delivered less than 70% of the essential health care, while village clinics and community health stations can provide respectively 62% and 77% of the essential healrth care. Lack of health workers, inadequate capacity of health workers, and shortage of operation funding are the major barriers for deliverying basic health services. Capacity building for improving functions of primary health providers should be one of the key strategies for health systems.

关 键 词：基层卫生机构 功能 分析 

分 类 号：R197.1[医药卫生—卫生事业管理]