粤北山区村卫生室服务能力研究  

Health service capacity of village clinics in the northern mountain area of Guangdong province

作　　者：蓝晓芳[1] 马聪[1] 耿巍[1] 陈少贤[1] 胡德宁 

机构地区：[1]中山大学公共卫生学院,广东广州510080 [2]广东省韶关市卫生局,广东韶关512000

出　　处：《中国农村卫生事业管理》2011年第12期1232-1235,共4页Chinese Rural Health Service Administration

摘　　要：目的:了解粤北山区村卫生室的基本建设情况与服务能力现状,找出存在的问题和缺陷,为促进欠发达地区村卫生室的发展提供参考依据。方法:采用问卷调查及深入访谈相结合的方法,对粤北山区19个乡镇130所村卫生室及130名乡村医生进行现况调查,并抽取村卫生室2010年某两周的处方共729张进行评价。结果:粤北山区村卫生室能提供基本的医疗卫生服务,但普遍存在房屋、设备等基本条件较差,村医总体素质不高,数量不足,接诊人数日益减少,村卫生室发展呈两极化趋势等问题。结论:为提高欠发达地区村卫生室的服务能力,建议应多方筹集资金加大投入,提升村卫生室的基本条件,加强村医的培训,完善村卫生室的服务功能,推广中西医适宜技术,为山区居民提供更好的医疗卫生服务。Objective To understand the basic construction and health service ability of village clinics in the northern mountain area of Guangdong province and to discover problems and weaknesses so as to provide reference for promoting the development of village clinics in the under-developed regions.Methods Questionnaires and in-depth interviews were used to investigate 130 village clinics and 130 country doctors in 19 towns located in the north of Guangdong.Totally 729 prescriptions in two weeks of 2010 were sampled for evaluation.Results Village clinics in the north of Guangdong could provide basic health services,but housing construction,equipment and other basic conditions were poor.The overall quality of country doctors was not high and the number of patient consultants was declining.Village health development trends and other issues were polarized.Conclusion To improve the health service ability of village clinics in under-developed regions,we suggest that financial support to village clinics from various ways should be strengthened,the basic conditions of village clinics should be improved,country doctors should be regularly trained,appropriate technology of a combination of traditional Chinese medicine and western medicine should be promoted.

关 键 词：村卫生室 乡村医生 服务能力 粤北山区 

分 类 号：R197.62[医药卫生—卫生事业管理]