深圳市社区健康服务中心基本情况调查分析  

Basic situation investigation and analysis on community health centers in Shenzhen city

作　　者：邓辉萍[1] 陈虾[2] 侯万里[1] 赵志广[1] 欧阳芳芳 赵鹏[4] 程锦泉[1] DENG Hui - ping;HOU Wan - li;ZHAO Peng;CHEN Jin - quan;CHEN Xia;ZHAO Zhi - guang;OUYANG Fang- fang(Shenzhen Center for Disease Control and Prevention, Shenzhen Guangdong 518055 , China;Shenzhen Maternal and Child Care Service Center, Shenzhen Guangdong 518017, China;Shenzhen Baoan District Peopled Hospital, Shenzhen Guangdong 518104, China;Shenzhen Baoan District Xixiang Peopled Hospital, Shenzhen Guangdong 518102, China)

机构地区：[1]深圳市疾病预防控制中心,广东深圳518055 [2]深圳市妇幼保健院,广东深圳518017 [3]深圳市宝安区沙井人民医院,广东深圳518104 [4]深圳市宝安区西乡人民医院,广东深圳518102

出　　处：《卫生软科学》2016年第7期26-30,共5页Soft Science of Health

基　　金：国家自然科学基金资助(71373090)

摘　　要：[目的]调查深圳市社区健康服务中心(简称"社康中心")发展现状及存在问题。[方法]采取整群分层随机抽样方法,从深圳市609家社康中心中按照10%比例抽取60家进行调查,并将其情况与深圳市总体情况进行比较。[结果]调查60家社康中心服务人口105.7万,服务社区类型以城市住宅型社区(26家,43.3%)和城乡结合部社区(27家,45.0%)为主;绝大多数由政府所属医疗机构举办(56家,93.3%),差额拨款(51家,85.0%)。当前社康中心共有工作人员977名,岗位设置以全科医疗(24.9%)和护理岗位(31.4%)为主,专业以临床(45.3%)和护理(33.8%)为主,学历以本科(47.0%)和大专(39.4%)为主,临聘人员所占比例较高(67.3%)。绝大多数基本公共卫生服务是由全科医生或护士兼职开展。大部分收入(68.9%)仍是来自业务收入,而财政拨款中基本公共卫生服务经费约占半数。房屋租赁费用占运营管理成本的半数以上(57.6%)。[结论]当前深圳市社康中心已取得长足发展,但仍面临财政补助力度有待提高,国家政策有待落实,人员配置急需改善等问题。Objective To investigate current situation and problem of community health centers development in Shenzhen city. Methods A stratifiedrandom cluster sampling method was used to select 60 (10% ) from 609 community health centers ( CHCs) . Then compared the conditionof these CHCs with the overalPs. Results Investigated 1. 057 million people from 60 CHCs. Main community types were urban residencecommunity (26, 43. 3% ) and rural - urban continuum community (27 , 45. 0% ) . Most of the CHCs were held by public health institutions(56, 93.3% ) . CHCs of balance allocation were (51,85.0% ) . There were 977 staffs, the post settings mainly were general practice(24. 9% ) and nursing (31. 0% ) , the specialties mainly were clinical (45. 3% ) and nursing (33. 8% ) , the education background mainlywere undergraduate (68. 9% ) and junior college (39. 4% ) , the ratio of informal employees was higher (67. 3% ) . Most basic public healthservices were carried out by general practitioners and nurses as part - timers. Most income was from the business (68. 9% ) , There was halfbasic public health which was from government financial allocation. Working place rent expenses was over operation and management cost(57. 6% ) . Conclusions The CHCs in Shenzhen had great development, but still had some problems such as insufficient investment in infrastructure, the human resources should be improved, and the government financial fund should be increased, etc..

关 键 词：社区卫生服务中心 基本情况 人员配置 财政支出 

分 类 号：R197.61[医药卫生—卫生事业管理]