沈阳市基层卫生资源配置现况研究  

The study of the situation of primary health care resources in Shenyang

作　　者：邢凯 孙红妍[1] 黄伟 郝毅松 王慧文[1] XING kai;SUN hong-yan;HUANG wei;HAO yi-song;WANG hui-wen(Department of Epidemiology, Shenyang Medical College, Shenyang 110034, China)

机构地区：[1]沈阳医学院流行病学教研室,辽宁110034 [2]沈阳市卫生计生委

出　　处：《社区医学杂志》2017年第22期8-10,共3页Journal Of Community Medicine

摘　　要：目的了解沈阳市基层医疗卫生服务机构的资源现况,分析基层医疗卫生机构存在的问题,探讨解决问题的方法。方法 2015年8月向沈阳市所有基层医疗卫生服务机构发放问卷,进行问卷调查,使用构成比、百分率、χ2检验及秩和检验等对沈阳市基层医疗卫生机构各指标进行分析。结果共调查沈阳市基层医疗卫生机构2 914家,社区卫生服务中心分布为市区163家、郊区81家、县市0家。在岗人员职称情况:高级职称341人(占4.01%),中级职称2 411人(占28.33%)。市区职称高于郊区,县市最低(P<0.001)。在岗人员学历情况:本科及以上学历1 713人(占20.13%),专科学历2 274人(占26.72%)。本科学历,市区多于郊区,县市地区最少(P<0.001)。市区的社区卫生服务机构的CR、DR、超声设备和生化分析仪的设备配备率分别为3.07%、8.59%、31.91%和32.52%,高于郊区和县市,乡镇卫生院仪器配备率分别为22.97%、12.16%、87.84%和87.84%,高于市区和郊区。结论市区及郊区的基层医疗卫生状况相对较好,下辖县市地区处于相对低水平状态,政府需要加大扶持力度。Objective To explore the health resources situation and analyze the problems existing of primary medical and health service institutions in Shenyang,to seek the methods to solve these problems.Methods A questionnaire survey was conducted among all the primary medical and health service institutions in Shenyang.The constituent ratio,percentage,chi-square test and rank sum test were used to analyze data.Results A total of 2 914 primary medical and health institutions were investigated in Shenyang.Among these community health service centers,there were 163 centers in the urban,81 in the suburbs and 0 in the county seat.Among the staff,there were 341 persons（4.01%） who received senior titles,and 2411（28.33%） with intermediate titles.The level of professional titles in urban areas is higher than that in suburbs,and that on country was minimum（P〈0.001）.There are 1 712（20.13%） persons possessing bachelor degree or above,and 2 274（26.72%） possessing college degree.The number of people who obtain bachelor degree in urban area is larger than that in suburbs and country（P〈0.001）.The equipment allocation rates of CR,DR,ultrasonic equipment and biochemical analyzer in urban community health service institutions were 3.07%,8.59%,31.91% and 32.52% respectively,which were higher than those in suburban and county.These indicators in township hospitals were 22.97%,12.16%,87.84% and 87.84% respectively,which were higher than those in urban and country.Conclusion The basic medical and health status of the urban and suburban areas is relatively better than that in the remote areas,so that the government needs to increase support to those places.We expect continued increase in support from the government in future.

关 键 词：基层医疗机构 人力资源 医疗设备 

分 类 号：R197.6[医药卫生—卫生事业管理]