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目的调查成都市基层医疗机构医技服务开展现状,为提高基层医疗机构医技服务能力提出针对性建议。方法 2016年10月—11月采用普查方法,对成都市22个区(市)县所有基层医疗机构(社区卫生服务中心和乡镇卫生院)共计390家基层医技服务能力进行问卷调查。采用描述性统计方法进行分析。结果共发放问卷390份,回收且资料完整的有效问卷379份。基层医疗机构检验、超声、心电图、放射医技人员占总体医师比例分别为3.32%、2.04%、1.75%、2.43%。社区卫生服务中心检验室、B型超声室、心电图室设置率分别为94.02%、93.16%、94.02%,与乡镇卫生院设置率93.51%、95.42%、90.08%相近。基层医疗机构医技开展项目排名前3位的分别为血糖检测(96.04%)、血常规(95.25%)和尿常规(95.25%),后3位分别为肺功能检测(18.21%)、血气分析(8.18%)和CT(5.28%)。结论成都市基层医疗机构还需进一步加大医技人员及适宜项目的标准化建设,提高服务能力。
Objective To investigate the status quo of medical and healthcare services in primary medical institutions in Chengdu and put forward some suggestions to improve the medical and technical service ability of primary medical institutions. Methods From October to November, 2016, a total of 390 primary medical and technical services were surveyed by using the census method in all grass-roots medical institutions (community health centers and township hospitals) in 22 districts (cities) in Chengdu. Descriptive statistics were used for analysis. Results A total of 390 questionnaires were distributed and 379 valid and complete questionnaires were collected. Primary medical institutions, ultrasound, electrocardiogram, radiology and medical staff accounted for the overall proportion of physicians were 3.32%, 2.04%, 1.75%, 2.43%. The setting rate of CHS, B ultrasound room and ECG room were 94.02%, 93.16% and 94.02% respectively, which were similar to the setting rates of 93.51%, 95.42% and 90.08% in township hospitals. The top 3 medical and technical programs of grassroots medical institutions were blood glucose test (96.04%), blood routine (95.25%) and routine urine test (95.25%), and the latter 3 were respectively lung function test (18.21%), blood gas analysis (8.18%) and CT (5.28%). Conclusion The basic medical institutions in Chengdu need to further increase the standardization of medical technicians and appropriate projects and improve their service capabilities.