医疗和防保功能在乡镇卫生院的地位变迁分析  

Analysis of change of curative and preventative functions in township hospitals

作　　者：冀明奎[1] 吕军[1] 曾雁冰[1] 袁敏[1] 程亮[1] 汤善健[2] 朱道立[3] 林尚立[4] 梁鸿[5] 姜庆五[6] 王颖[1] 励晓红[1] 苌风水[1] 孙梅[1] 罗力[1] 郝模[1] 高解春[7] 

机构地区：[1]复旦大学卫生发展战略研究中心,上海200032 [2]复旦大学数学科学学院,上海200433 [3]复旦大学管理学院,上海200433 [4]复旦大学国际关系与公共事务学院,上海200433 [5]复旦大学社会发展与公共政策学院,上海200433 [6]复旦大学公共卫生学院,上海200032 [7]复旦大学医院管理研究所,上海200040

出　　处：《中国卫生资源》2011年第4期266-267,271,共3页Chinese Health Resources

基　　金：国家自然科学基金重点项目;项目编号:70733002;教育部哲学社会科学研究重大课题攻关项目;项目编号:07JZD0017;教育部2009年度创新团队资助项目;项目编号:IRT0912;"长江学者特聘教授"项目基金;复旦大学"985"工程哲学社会科学创新基地基金资助项目;上海曙光计划基金资助项目;项目编号:08SG08

摘　　要：目的:了解乡镇卫生院医疗和防保地位的现状及变化。方法:运用最大差异抽样法,2000年和2008年分别对华东地区49个乡镇卫生院医疗和防保支出进行了调查。结果:医疗支出远高于防保支出,但增长速度近年来低于防保支出。经济活力高的乡镇卫生院对防保工作投入较多,其防保工作地位和开展能力相对较高。结论:加强对防保工作重视和投入尤其在经济落后地区,促进医疗和防保工作平衡发展,落实乡镇卫生院公共卫生职能。Objective：To understand the change of curative and preventative functions in township hospitals.Methods： Medical and preventative expenditure of 49 township hospitals in Eastern China were surveyed in 2000 and 2008 respectively by using maximum-difference sampling method.Results： Medical expenditure was far more than preventative expenditure,but the growth rate of preventative expenditure was much faster in recent years.The township hospitals with better viability could allocate more resources to support preventative care and the capacity of prevention could be improved.Conclusion： The government and hospital should strengthen the importance of the preventative work and provide more input to preventative work,especially in poor areas.The township hospitals should balance the development of medical and preventive functions.

关 键 词：乡镇卫生院 医疗防保功能 变迁 

分 类 号：R197.62[医药卫生—卫生事业管理]