以WHO PEN慢性病干预工具为基础的农村居民卫生服务需要与利用研究  

The Study of Health Service Demand and Utilization Based on WHO PEN Non-Chronic Disease Instrument Implementation in Ningxia Rural Area

作　　者：王晓烨[1] 张文胜 杨晋平 钱磊[1] 杨丹琳[1] 时媛媛[1] 李林贵[1] 

机构地区：[1]宁夏医科大学管理学院,银川750004 [2]宁夏回族自治区卫生厅,银川750004

出　　处：《中国初级卫生保健》2013年第9期8-10,共3页Chinese Primary Health Care

基　　金：WHO PEN在宁夏农村慢性病干预工作中的应用研究(2012/269200-0 CHN-12-NCD-003922)

摘　　要：以WHO PEN慢性病干预工具为依托,从人力资源、人员培训、设备配备、基本设施、基本生理生化检查指标和药品情况等方面研究西部农村地区资源配置,以期实现农村基本医疗卫生服务均等化。结果发现:两项目地区超过半数的村民由于距离村卫生室较远、村卫生室医疗设备差,难以满足其就医需求,以及由于设备短缺、药品种类少等诸多原因而放弃在村卫生室就诊,青铜峡市居民卫生服务可及性好于西吉县。结论近几年宁夏农村地区卫生服务需要量变化不大,但慢性病呈上升趋势;卫生服务利用能力却并未明显提高;经济原因依然是阻碍居民就医的重要原因;加强基层医疗卫生机构建设、提高医疗保障水平和缩小城乡间差距是当前的重要工作。Aim on geting equality of primary health care by the research of rural resources allocation including health human resources,health worker training,medial equipment,infrastructure,primary medical laboratory and medicine based on WHO PEN designing.FINDING More than half of the villagers of the two project areas are difficult to meet their medical needs because of the long distance from the village health care,poor medical equipments and due to a shortage of equipment,types of drugs and many other reasons to give up in the village health clinic;the health services accessibility of residents in Qingtongxia is better than Xiji County.CONCLUSION Requirements for health services in rural areas of Ningxia changed little in recent years,but the chronic diseases have a upward trend;The utilization of health services capacity had none significantly improve ment;economic reason is still important reason of inconvenience to the residents for medical treatment;strengthen primary health care institutions to improve the level of medical care,narrowing the gap between urban and rural areas is an important work.

关 键 词：世界卫生组织 主要慢性病服务干预包 慢性病 需要与利用 基层建设 

分 类 号：R127[医药卫生—环境卫生学]