经济发达地区乡镇卫生院功能定位研究  

Functional orientation of township hospitals in developed areas in China

作　　者：陈定湾[1] 王国敬[2] 毛建勋 尹口[1] 王国放 钟要红[1] 范春红[1] 王妮妮[1] 汪雅琴 沈清[1] 

机构地区：[1]浙江医学高等专科学校,杭州310053 [2]浙江省卫生厅 [3]杭州市萧山区卫生局 [4]杭州市萧山区衙前镇卫生院

出　　处：《中华医院管理杂志》2012年第8期603-606,共4页Chinese Journal of Hospital Administration

基　　金：基金项目：“十一五”国家科技支撑计划重点项目（2008BAI65B01）

摘　　要：目的明确经济发达地区乡镇卫生院功能定位和确定各项功能占乡镇卫生院工作内容中的比例。方法采用德尔菲专家咨询法，对来自全国的18名专家进行两轮专家咨询，获取每项功能的重要程度。结果专家从事相关专业工作的平均年限为23．28±10．41年，两轮咨询专家的积极系数均为100％，协调系数分别为0．426和0．525（P〈0．01），差异具有统计学意义，可认为全部专家意见趋于一致，咨询已经满足预测的要求；共明确了一级功能7项，二级功能27项；医疗服务和公共卫生服务占乡镇卫生院工作内容的比例相近。结论功能定位具有一定的合理性和前瞻性，可为经济发达地区乡镇卫生院建设提供参考。Objective To explore the functional orientation of township hospitals in developed areas to achieve goals of the ongoing health reform, Methods Two rounds of Delphi consultation was made among 18 experts from around the country to learn the degree of importance of every function. Results The experts＇ average seniority of service in their fields was 23.28±10, 41 years. The positivity coefficients of the two-round consultation were 100M. Kendall＇ S coefficients of the two-round consultation were 0. 226 and 0. 265 （p〈 0. 01）. These data are of statistical importance, suggesting consensus among these experts and the consultation meeting the needs of forecast. In these consultation, seven class-1 functions and and 27 class-2 functions were determined. Medical services and public health services account for similar proportion of work of township hospitals. Conclusion The functional orientation was feasible and forward looking, for reference of township hospitals in developed areas.

关 键 词：经济发达地区 乡镇卫生院 功能定位 德尔菲法 

分 类 号：R197.1[医药卫生—卫生事业管理]