文章摘要
林振平,陈 志,钱东福,王中华.乡镇卫生院服务能力建设的实证分析——以江苏省连云港市为例[J].南京医科大学学报,2011,(2):110~114
乡镇卫生院服务能力建设的实证分析——以江苏省连云港市为例
Empirical analysis on the development of service capabilities of township health centers in Jiangsu Lianyungang city
投稿时间:2011-01-28  
DOI:10.7655
中文关键词: 乡镇卫生院  卫生服务  实证分析
英文关键词: township health centers  health service  empirical analysis
基金项目:教育部人文社会科学研究青年基金项目(10YJC630191),江苏省科技厅软科学计划项目(BR2009052);通讯作者:林振平
作者单位
林振平 南京医科大学医政学院,江苏 南京 210029 
陈 志 江苏省连云港市卫生局,江苏 连云港 222006 
钱东福 南京医科大学医政学院,江苏 南京 210029 
王中华 南京医科大学医政学院,江苏 南京 210029 
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中文摘要:
      目的:调查了解乡镇卫生院的能力建设情况,为促进新医改的落实提出建议?方法:以江苏连云港市为案例,采用文献检索?定量调查和定性访谈收集资料,资料分析以描述性为主?结果:区域卫生资源配置不均衡,向县级以上卫生机构集中;卫生院服务能力逐年提高,以粗放型增长为主;卫生技术人员整体素质不高,结构呈现优化趋势;公共卫生服务得到加强,医疗服务量增长迅速,“重医轻防”问题突出?结论:建议政府在区域卫生规划中,卫生资源向农村基层倾斜;卫生院应提高管理水平,走集约型发展的道路;相关部门积极制定和落实卫生人才设置规划,以灌南县为例,建立卫生人才中心;政府加大投入,加强绩效考核,促进卫生院重视公共卫生和基本医疗服务?
英文摘要:
      Objective: To understand the status quo of service capabilities of township health centers (THCs),and give some advices on promoting the implementation of new healthcare reform in China. Methods: By methods of documentation, questionnaire survey and experts investigation, the service level of township health centers in Lianyungang city was studied. Descriptive statistical analysis method was mainly used. Results: The distribution of health resources was not reasonable, and obviously concentrated on the higher-level health institutions. Mainly by extensive pattern of growth, service capabilities of THCs had been enhanced in the past few years, public health services had been strengthened and medical services rapidly increased, while the overall quality and the structure of rural health professionals were not less than satisfactory, the phenomenon on paying more attention to medical services than prevention services was still existed. Conclusion: Health resources for grass-root service should be enhanced, and the programme of health human resources should be actively formulated and implemented. THCs should improve its management level, take the road of intensive development, and strengthen performance evaluation to promote public health services and basic medical services.
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