江苏省农村地区村级机构基本公共卫生服务现状及影响因素分析  

The Status Quo and Influencing Factors of Basic Public Health Services at Village Level in Jiangsu Province

作　　者：朱立国[1] 王旗[2] 宋俐[1] 卞琳琳[1] 沈雅[1] 黄加益[1] 陆耀良[1] 施平[1] 陈连生[1] 

机构地区：[1]江苏省疾病预防控制中心,江苏省南京市210009 [2]徐州医学院

出　　处：《中国全科医学》2014年第4期391-395,共5页Chinese General Practice

基　　金：江苏省疾病预防控制中心科教兴业课题资助项目(JKRC2011020)

摘　　要：目的掌握江苏农村地区村级机构基本公共卫生服务开展情况及其影响因素。方法 2011年11—12月采用横断面调查的方法,对289所分布在江苏6个县级市的村级机构开展问卷调查,调查内容包括机构基本情况和11项基本公共卫生服务开展情况。结果村级机构实际服务人口是常住人口的1.06倍,29.3%(80/273)的机构实行了绩效工资制度改革,11项基本项目普遍开展,健康档案平均建档率为59.5%(2 173/3 650),婴幼儿健康管理开展率和2型糖尿病患者随访工作的开展率分别为73.7%(191/259)和94.5%(260/275)。溧阳和丹阳地区、服务人口数在3 850人及以上、项目经费补助在1.56万元/年及以上的机构健康档案建档人数和预防接种单发放数较多,缺少执业医师的机构建档人数较少,村医年均收入较高的机构预防接种单发放数较多,实行绩效工资制度改革的机构婴幼儿健康管理开展率较高,差异均有统计学意义(P<0.05)。结论基本公共卫生服务项目各项内容开展程度不一,保证项目经费补偿到位,加强基层卫生人员队伍建设和落实基层绩效工资制度改革,可促进基本公共卫生服务工作良性发展。Objective The purpose of this study was to investigate the status quo and influencing factors of basic pub- lic health services at village level in rural areas in Jiangsu Province. Methods A cross - sectional survey was conducted in 289 villages in six counties of Jiangsu Province between November and December, 2012. Data on 11 variables related to the implemen- tation of basic public health services were collected and analyzed. Results The actual population receiving the village - level services was 1.06 times the number of residents in the surveyed areas. Reform aiming at establishing a responsibility - and per- formance -dependent salary system had been implemented in 80 （29. 3% ） of the 273villages that responded to the survey ques- tion related to this issue. Infant health management was implemented in 191 （73.7%） of the 259 villages that responded to the survey question related to this issue. Follow - up of patients with type 2 diabetes was implemented in 260 （94. 5% ） of the respon- ding 275 vilages. Digital archiving of health records was accomplished in 59.5% of the residents in the areas surveyed. The per- centage of of residents whose health records were archived and the number of notice for vaccination distributed were higher in Liy- ang and Danyang counties, in areas with an actual service population ≥3 850 and in areas with a subsidiary support more than ~ 1.56 per year. The record archiving rate was lower in villages where there was a lack of certified physicians. The number of vac- cination notice distributed was higher in villages higher average annual household incomes. The implementation rate of infant health management was higher in villages where salary system reform was implemented. Conclusion Currently, there is a big variation in the extent by which various projects of village - level health services are implemented in different areas in Jiangsu Province. To ensure project subsidiary funds in place, to strengthen primary healthcare team development, and to further implement s

关 键 词：基本公共卫生服务 村级 现状 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]