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目的 :了解塔城市农牧区村卫生室卫生服务能力现状及存在的问题,提出相应的政策建议。方法 :2015年7—8月,采用典型抽样对塔城市恰夏镇卫生院和牧业医院所属的31所村卫生室的基础设施、基本设备、卫生服务情况(包括基本医疗服务和基本公共卫生服务)以及36名卫生人员的基本情况进行问卷调查,访谈7名关键知情人。结果 :调查地区村卫生室的基础设施建设和设备配置水平不容乐观,农牧民切实所需的医疗设备配置严重不足;卫生人员匮乏、业务素质偏低是制约卫生服务能力提升的关键;基本公共卫生服务普遍开展,基本医疗服务功能呈弱化的趋势。访谈发现:村卫生室以提供基本公共卫生服务为主;卫生人才紧缺;现行工资待遇差是卫生人才不愿意来和长期留下的主要原因。结论 :塔城市农牧区村卫生室卫生服务能力较为薄弱,面临着与普通农村地区不同的、更具有地域特点的问题。政府应因地制宜地构建适合农牧区的、差异化的人才吸引优惠政策,完善乡村医生的学历教育与继续教育,加强其业务能力培训,同时有效落实村卫生室的标准化建设,提高基本设备配置水平,逐步完善村卫生室服务功能。
Objective: To understand the status quo and existing problems of health service capacity of village clinics in rural and pastoral areas in Tarim City and put forward corresponding policy recommendations. Methods: From July to August 2015, the author used typical sampling to analyze the basic facilities, basic equipment, health services (including basic medical services and basic public health) in 31 village clinics owned by Chaxia Township Health Center and Animal Husbandry Hospital of Tacheng City, Service) and the basic situation of 36 health personnel to conduct a survey to interview seven key insiders. Results: It is not optimistic to investigate the infrastructure construction and equipment disposition of village clinics in rural areas. The actual configuration of medical equipment for farmers and herdsmen is seriously inadequate. The shortage of health workers and the low quality of their work are the key factors that restrict the improvement of health service capacity. Health services are generally carried out, and the basic medical service functions are weakened. Interviews found that: village clinics to provide basic public health services; shortage of health personnel; the current poor wages are health professionals do not want to come and long-term stay of the main reasons. Conclusion: The health service capacity of village clinics in rural and pastoral areas is relatively weak and faces different and more geographical characteristics than ordinary rural areas. The government should, according to the local conditions, construct suitable differentiated talents for rural and pastoral areas to attract preferential policies, improve the qualifications and continuing education for rural doctors, and enhance their operational capacity training. At the same time, the standardization of village clinics should be effectively implemented and the basic equipment configuration should be enhanced , And gradually improve the village clinic services.