河南省基层卫生监督机构规范化建设三年效果分析  

Effectiveness of 3-year standardized construction of health inspection and supervision institutions at grass-roots level in Henan province

作　　者：吴建[1] 张金帅 李红星 范冠宇 刘琳 付晓丽[1] WU Jian;ZHANG Jin-shuai;LI Hong-xing(College of Public Healthy Zhengzhou University,Zhengzhou,Henan Province 450001,China;不详)

机构地区：[1]郑州大学公共卫生学院,河南郑州450001 [2]河南省卫生健康委员会,河南郑州450004

出　　处：《中国公共卫生》2020年第4期609-613,共5页Chinese Journal of Public Health

基　　金：国家重点研发计划“数字诊疗装备研发”试点专项资助(2018YFC0114501)。

摘　　要：目的分析2014-2016年间河南省开展基层卫生监督机构规范化建设效果,为探索卫生综合监督体系规范化建设的有效模式提供参考和借鉴。方法采取分层抽样方法,抽取7个参与规范化建设的基层单位作为样本组,7个未参与建设单位作为对照组,收集现场调查和监督统计年鉴数据,利用χ~2检验、Spearman相关系数等方法进行分析。结果资源配置方面,2016年样本组7家单位平均拥有的监督员数、业务用房面积、执法车辆数和快速检测设备数分别较2014年建设启动时增加7.4名、1 531.4 m^2、1.3辆和11.0台,同期对照组单位分别增加2.1名、439.0 m^2、0.3辆和3.4台;核心业务指标方面,样本组卫生监督覆盖率、实监督户次数分别增加3.05个百分点、794户次,对照组增加0.74个百分点、28户次;问卷调查结果显示,93.9%的卫生监督员认可规范化建设工作,认为规范化建设对优化基层卫生监督资源配置和能力提升发挥了显著作用。结论三年规范化建设提升了基层卫生监督资源配置水平,改善了执法办案效率,是新时期卫生监督体系建设的一项重要制度创新。Objective To assess the effectiveness of standardized construction of health inspection and supervision institutions at grass-roots administrative level in Henan province from 2014 to 2016 and to provide references for developing efficient models of standardized construction of health inspection and supervision institutions. Methods Using stratified sampling, we selected 7 grassroots health inspection and supervision institutions involved in standardized construction as a sample group and another 7 institutions with routine administration as a control group. Field study and relevant data collection from health statistics yearbooks were conducted among all the institutions selected. A questionnaire survey was also carried out among 293 staff in the sample institutions. Chi square test and Spearman correlation coefficient were adopted in data analyses. Results Compared to the institutions of control group, the institutions of sample group were supplied with more resources for health inspection and supervision after the 3-year process of standardized construction, with higher average increments in the number supervisors(7.4 vs. 2.1), the area of office space(1 531.4 vs. 439.0 square meters), the number of official vehicles(1.3 vs. 0.3), and the number of rapid detection equipments(11.0 vs. 3.4);the institutions of sample group had higher increased coverage rate of health inspection and supervision(3.05% vs. 0.74%) and the number of on-site health inspection(794 vs. 28). Of all the surveyed staff from the institutions of the sample group, 93.9% considered that the standardized construction had played a significant role in the promotion of health resource allocation and the improvement of administration capacity for health inspection and supervision institutions at grass-roots level. Conclusion Health resources allocation and health inspection and supervision performance were improved for grass-roots health inspection and supervision institutions after the 3-year′s standardized construction in Henan province, sugges

关 键 词：基层 卫生监督 规范化建设 效果 

分 类 号：R194[医药卫生—卫生事业管理]