论文部分内容阅读
目的分析甘肃省平凉市农村三级医疗卫生服务网络建设发展现状,有针对性地提出健全平凉市农村三级医疗卫生服务网络建设的策略与措施。方法以2014年平凉市卫生发展统计公报为基础,采用理论分析与实证分析相结合的方法,用Excel 2003建立数据库,运用Spss 16.0统计软件进行统计学分析。结果平凉市农村三级医疗卫生服务网络建设存在城乡差异,主要体现为县级以上医疗机构与乡镇卫生院床位使用率存在较大差异(χ2=9.66,P<0.05),县级以上与乡镇(χ2=10.12)、乡镇与村级(χ2=27.58)医疗卫生服务机构取得执业资质占从业人员的比率存在较大差异(P<0.05),提示农村医疗卫生人力资源匮乏、医护人员医务技术水平较低;农村医疗卫生基础设施建设滞后,医疗设施条件简陋、资源不足和服务能力较弱。结论完善农村三级医疗卫生服务体系的财政补偿机制,充分发挥县、乡级医疗卫生机构的主体作用及村卫生室的网底职能,加强乡村一级卫生人员队伍建设和业务培训,是优化平凉市农村三级医疗卫生服务体系的有效措施。
Objective To analyze the status quo of the construction and development of the tertiary medical and health service network in rural areas of Pingliang City, Gansu Province, and to put forward the strategies and measures to improve the tertiary medical and health service network in rural areas in Pingliang City in a targeted manner. Methods Based on the Pingliang City Health Development Bulletin of 2014, a combination of theoretical analysis and empirical analysis was used to establish a database with Excel 2003, and the statistical analysis was carried out using the Spss 16.0 statistical software. Results There was a difference between urban and rural areas in the construction of three levels of medical and health service network in rural areas in Pingliang City, mainly due to the big difference in the utilization rate of beds among medical institutions and township hospitals at county level (χ2 = 9.66, P <0.05) χ2 = 10.12). There was a significant difference (P <0.05) in the ratio of practicing qualification of employed persons in township and village (χ2 = 27.58) health care service practitioners, suggesting that there is a lack of human resources in rural medical and health care, Low; rural health infrastructure construction lags behind, poor medical facilities, lack of resources and service capacity is weak. Conclusion Improving the financial compensation mechanism of the rural medical service system at the three levels, giving full play to the main role of the medical and health institutions at the county and township level and the function of the net clinics in the village clinics, strengthening the team building and training at the first-class rural health workers, Effective measures for the three levels of rural health service system in rural areas.