基本公共卫生服务均等化服务项目落实障碍的供方意向分析  

Intetion of Service Providers to Obstacles in Carrying out Equalization of Basic Public Health Services

作　　者：李昊翰[1] 励晓红[1] 吕军[1] 徐汉波[1] 郝超[2] 郝模[1] 

机构地区：[1]复旦大学卫生发展战略研究中心,上海市200032 [2]常州市疾病预防控制中心

出　　处：《中国全科医学》2013年第34期4031-4033,共3页Chinese General Practice

基　　金：江苏省卫生科研项目(H201044);国家自然科学基金项目(70903014);教育部2009年度创新团队项目(IRT0912);教育部哲学社会科学研究重大课题攻关项目(07JZD0017)

摘　　要：目的基于供方视角了解基本公共卫生服务均等化服务项目落实的主要障碍。方法采用自填问卷,针对均等化9类领域服务项目及2个重大项目落实障碍调查了常州市1 059名供方人员,计算各障碍在不同项目中的认同率。结果 "资金投入不到位"的认同率与其他障碍相比,在所有项目中都是最高的;"供方人员数量不够"的认同率在6个服务项目中位列第二;"居民配合程度不高"的认同率在5个服务项目中位列第二,差异均有统计学意义(P<0.05)。"资金投入不到位"的认同率最高达80.1%,最低为55.3%;"供方人员数量不够"的认同率最高达57.0%,最低为34.8%;"居民配合程度不高"的认同率最高达58.2%,最低为36.9%。结论均等化落实至今如何保障资金到位仍是重难点,且供方人员数量不足和需方配合程度不高两个问题都应给予重视,并提示基本公共卫生服务均等化落实涉及供方、需方、管理方,为更好地实现其目标需要一套客观、系统、兼顾各方的解决方案。Objective To investigate the obstacles in carrying out equalization of basic public health services from the view of service providers. Methods A questionnaire survey was taken among 1 059 persons from the service provide about their e- valuation on the obstacles in carrying out 9 programs of services and 2 key projects, and their consent rate of each obstacle in dif- ferent services. Results The consent rate for ＂ lack of financing support＂ was the highest among all projects of services, that for quantitative shortage of service providers＂ ranged second in 6 programs of services, and that for ＂ lower coordination of the residents＂ went second in 5 programs of services （P 〈0. 05） . The highest consent rate for ＂ lack of financing support＂ was 80. 1%, and the lowest was 55.3%. The highest consent rate for ＂ quantitative shortage of service providers＂ was 57.0% and the lowest was 34. 8%. The highest consent rate for ＂ lower coordination of the residents＂ was 58. 2% and the lowest was 36. 9%. Conclusion It is so far still the most difficult to deal with the ＂ lack of financing support＂, and the ＂ quantitative shortage of service providers＂ and ＂ lower coordination of the residents＂ should also be paid attention. The implementation on equalization of basic public health services concerns provider, demander and manager. So it requires a solution that is objective, systemic and involved all sorts of parties to achieve the aims of equalization of basic public health services.

关 键 词：基本公共卫生服务 均等化 障碍 

分 类 号：R197[医药卫生—卫生事业管理]