新型城镇化背景下河南省乡镇卫生院综合服务能力评价及分析  

Comprehensive Service Ability of Rural Health Service Centers in Henan Province under the Background of New Urbanization

作　　者：吴辉[1] 丁宇[1] 石如玲[1] 

机构地区：[1]新乡医学院公共卫生学院,河南省全科医学教育研究中心,河南省新乡市453003

出　　处：《中国全科医学》2015年第7期764-769,共6页Chinese General Practice

基　　金：河南省教育厅人文社会科学研究规划项目(2013-GH-089)--城镇化背景下的河南省卫生系统反应性研究;河南省教育厅科学技术研究重点项目(14A630006)--城镇化背景下河南省乡镇卫生院服务能力系统建模及政策研究;基本公共卫生服务体系投入在提高城镇承载能力中的作用研究(SKL-2014-3263)

摘　　要：目的评价新型城镇化背景下河南省乡镇卫生院的卫生服务能力,探讨其在建设过程中可能存在的问题。方法于2013年7—9月,在河南省抽取城乡一体化试点区乡镇卫生院12家,非试点区乡镇卫生院40家。对其业务负责人进行问卷调查,调查内容包括所在卫生院的一般状况、机构设置、卫生人力资源、医疗设备、收支现状、服务效率及基本公共卫生服务开展状况等。结果 (1)试点区和非试点区乡镇卫生院的平均服务人口、平均服务半径、卫生技术人员性别和职称构成、临床科室开设情况及除心电图机以外的其他基本医疗设备配置率比较,差异无统计学意义(P>0.05);试点区和非试点区乡镇卫生院的平均病床数、平均业务用房面积、每千人卫生技术人员数、卫生技术人员学历和专业构成及心电图机配置率比较,差异有统计学意义(P<0.05)。(2)试点区和非试点区乡镇卫生院年平均诊疗人次数、病床周转次数、病床使用率及出院者平均住院日比较,差异均有统计学意义(P<0.05);门诊次均费用和住院次均费用比较,差异有统计学意义(P<0.05);门诊费用药品所占比例、住院费用药品所占比例及住院日均费用比较,差异无统计学意义(P>0.05)。(3)所有卫生院均开展的卫生服务项目有:提供健康教育宣传资料、开设健康教育宣传栏、开展公众健康咨询服务、开展个体化的健康咨询服务、传染病和突发公共卫生事件登记和管理等、学校卫生服务、非法行医和非法采供血信息报告。所有卫生院均未开展的卫生服务项目有:食品安全信息报告、职业卫生咨询指导及社区饮用水卫生安全巡查。试点区和非试点区乡镇卫生院其他卫生服务项目开展率比较,差异无统计学意义(P>0.05)。结论试点区乡镇卫生院的基本医疗服务量和服务效率高于非试点区,门诊次均费用和住院次均费用高于非试点区;�Objective To evaluate health service ability of rural health centers in Henan Province under the background of newo urbanization,investigate possible problems. Methods In this typical sampling survey,we investigated 52 rural health centers from July to September in 2013,which included 12 urban- rural integration pilot centers and 40 non- pilot centers. Questionnaires were conducted with center directors,from which a series of information was obtained,including general condition,organization structure,health human resource, medical equipment, income and expenses, service efficiency and basic public health service programs. Results（ 1） There was no statistical significance（ P〉 0. 05） in the difference between pilot centers and non- pilot centers in terms of average service population,average service radius,distribution of genders and professional titles of health workers, clinical departments and the allocation proportion of basic medical equipment exceptelectrocardiograph; there was statistical significance（ P〈 0. 05） in the difference in terms of average number of sickbeds,average area of working place, number of health workers per thousand residents, education degree and major distribution of health workers,and electrocardiograph allocation proportion.（ 2） There was statistical significance（ P〈 0. 05） in the difference between pilot centers and non- pilot centers in terms of average number of treated patients per year,times of bed turnover,bed utilization rate and average length of hospitalization per patient; there was statistical significance（ P〉 0. 05） in the difference in terms of average expense of outpatients and inpatients; no statistical significance（ P〈 0. 05） in the differences in terms of the proportion of medicine use for inpatients and outpatients, average expense of inpatients per day.（ 3） The health service programs carried out by all the centers included publicity materials for health education, bulletin board for health education,public consultation serv

关 键 词：新型城镇化 医院 乡村 卫生服务能力 

分 类 号：R197.62[医药卫生—卫生事业管理]