陕西省村卫生室服务现状研究  

Study on the Status Quo of Rural Clinics in Shaanxi Province

作　　者：闫菊娥[1] 徐艳[1] 

机构地区：[1]西安交通大学公共政策与管理学院,陕西西安710049

出　　处：《中国医学伦理学》2011年第1期20-22,37,共4页Chinese Medical Ethics

基　　金："十一五"国家科技部支撑重点项目"基本型乡镇卫生院集成示范研究"(编号:2008BAI65B19);陕西省农村基层医疗机构实行"零差价"政府补助政策研究

摘　　要：目的研究陕西省村卫生室服务现状,为加强村卫生室建设、提高村医服务能力提供依据。方法采用多阶段随机抽样方法收集2008年陕西省60个村卫生室、1386张处方和74名村医的基本资料,用描述性统计方法从村医情况、就诊人群、疾病诊断、药物使用等几方面进行描述和分析。结果村医的性别、年龄结构不平衡,整体素质有待提升;青年人占在村卫生室就诊人群的大多数;呼吸系统疾病和消化系统疾病是村级门诊就诊的主要原因;处方不规范的情况较多。结论应从提高村医整体素质,重视常见病、多发病的预防保健和完善诊疗规范上加以改进。Objective： To probe＇into the status quo of rural clinics in Shaanxi province, so as to provide reference to strengthen the construction of rural clinics and improve the service ability of rural physicians. Methods： Using multistage sampling processes, a field survey including 60 rural clinics, 1386 prescriptions and 74 rural physicians in Shaanxi in 2008 is carried out, analyzing indexes include the condition of rural clinics and physicians, the structure of patients, diagnoses of disease and drug use by descriptive statistical method. Results： tow quality and the imbalance in sex and age structure in rural physicians are significant. Patients who visited rural clinics were mainly young adults. Respiratory diseases and digestive disease are main dieases among those patients in rural clinics. Some prescriptions were nonstandard written out. Conclusions：the measures that should be taken into action are as follows： strengthen the qualities of rural physicians by regular training; pay attention to the preventive and health protection of common diseases and frequent diseases; improve and perfect diagnostic and treatment norms.

关 键 词：村卫生室 村医服务能力 预防保健 诊疗规范 

分 类 号：R195[医药卫生—卫生统计学]