论文部分内容阅读
目的确定社区基本公共卫生服务标准和工作强度。方法通过文献研究和专题讨论建立备选指标库;通过两轮德尔菲法专家咨询,确定“基本公共卫生服务标准”;采取分层随机抽样方法抽取60家社区健康服务中心(社康中心)进行现场调查,测定各具体服务内容的工作时间及体力劳动、脑力劳动、精神压力3项工作强度,计算工作强度调整系数,对工作时间进行调整。结果社区基本公共卫生服务标准包括10项服务项目、28项服务类别、112项服务内容和365条工作步骤。工作强度最大的为终止妊娠(23.1分),其次是精神疾病患者上门访视(21.9分)、疫苗接种异常反应处理(21.8分),较轻的为空气紫外线消毒(12.1分)、冷链登记管理(13.3分)、出版宣传栏(13.5分)。调整后技术性较强、压力或风险较大的项目工作时间增多。结论基本公共卫生服务标准可作为制定社区基本公共卫生服务规范的基础和依据,对不同部门均有较好的实用价值。
Objective To determine the standards and intensity of community basic public health services. Methods Through the literature research and thematic discussion to establish an alternative index library; through two rounds of consultation with Delphi method experts to determine the “basic public health service standards”; to take stratified random sampling method to extract 60 community health service center ) Conducted on-site investigation, determination of the specific service content of the working hours and physical labor, mental work, mental stress of the three work intensity, calculate the work intensity adjustment factor, adjust the working hours. Results The community basic public health service standard includes 10 service items, 28 service categories, 112 service contents and 365 work steps. The most intensive work was termination of pregnancy (23.1 points), followed by visits of patients with mental illness (21.9 points), abnormal response to vaccination (21.8 points), light air UV disinfection (12.1 points), cold chain registration Management (13.3 points), published billboards (13.5 points). After adjustment, the technical workforce will be pressured or risky to work more hours. Conclusion The standards of basic public health services can serve as the basis and basis for formulating the basic community public health service standards, and have good practical value for different departments.