山西省某县慢性病管理服务资源配置情况调查  

Investigation on resources allocation of chronic disease management services in a county in Shanxi province

作　　者：邹琪[1] 蔡虻[1] 张朝阳 王荣 严霏 俞鸯 Zou Qi;Cai Meng;Zhang Chaoyang;Wang Rong;Yan Fei;Yu Yang(Department of Nosocomial Infection Management/Disease Prevention and Control,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics of the Chinese Academy of Medical Sciences,Beijing 100730,China;China Rural Health Association,Beijing 100069,China;Department of Prevention and Healthcare,Yangqu County People’s Hospital,Yangqu County 030010,China;Information Statistics Center,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;Center for Project Supervision and Management,National Health Commission,Beijing 100044,China)

机构地区：[1]北京医院医院感染/疾病预防控制处,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [2]中国农村卫生协会,北京100069 [3]山西省阳曲县人民医院预防保健科,030010 [4]北京医院信息中心统计室,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [5]国家卫生健康委资金监管服务中心,北京100044

出　　处：《中华医院管理杂志》2021年第2期139-143,共5页Chinese Journal of Hospital Administration

基　　金：中国-盖茨基金会农村基本卫生保健项目(OPP1176308)。

摘　　要：目的调查山西某县按照中国-盖茨农村基本卫生保健服务项目路径提供服务所需资源的配置情况,为进一步开展慢性病管理提供信息。方法2019年7—8月,采用问卷调查法,评估山西省某县农村地区的县级、乡镇级和村级医疗机构,在高血压和糖尿病健康管理服务中人员、设备、药品的配置情况。结果共有1家县医院、10家乡镇卫生院和101家村级卫生室参与调查。参与项目服务人员方面,9家乡镇级医疗机构具备提供确诊、干预方案制定和随访随诊的人员,仅1家具备年度评估人员;村级医疗机构基本不具备确诊、干预方案制定和年度评估环节能力人员。技术设备配置方面,县级、乡镇级和村级医疗机构普遍缺乏糖尿病评估设备,糖尿病评估必选设备配置分别为80.0%、79.0%和37.8%,村级卫生室欠缺高血压评估设备,且无糖尿病确诊设备。结论山西省某县农村地区慢性病管理人员、设备和药品配置在县、乡、村之间不平衡,应通过有效合理利用资源,提高慢性病管理服务质量。Objective To provide information for further development of chronic disease management,by studying the allocation of resources required to provide services in a county in Shanxi province as required by to the pathway of China-Gates Rural Primary Health Care Service project.Methods A questionnaire survey was made to evaluate the deployment of manpower,equipment,and drugs required by levels of county,township and village medical institutions in the health management services of hypertension and diabetes in the rural areas of Yangqu county,Shanxi province from July to August 2019.Results A total of one county hospital,10 township health centers and 101 village clinics participated in the investigation.In terms of service personnel participating in the project,9 township-level medical institutions were manned with personnel who could provide diagnosis,intervention planning,and follow-up visits,and only one of them had annual evaluators;village-level medical institutions basically didn′t have diagnosis,intervention planning,and annual evaluation staff.In terms of technical equipments,there was a general lack of diabetes assessment equipment at county,township and village level medical institutions.The mandatory equipments for diabetes assessment was equipped for only 80.0%,79.0%,and 37.8%of the three levels of institutions,respectively.Village clinics lack hypertension assessment equipment and had no diabetes diagnosis equipment at all.Conclusions The chronic disease management personnel,equipment,and drug supply in the rural areas of a county in Shanxi province are unbalanced among counties,townships,and villages.The quality of chronic disease management services should be improved through effective and rational use of resources.

关 键 词：慢性病 管理 农村 卫生资源 

分 类 号：R197.1[医药卫生—卫生事业管理]