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本文从方法学角度,提出4种反映乡镇卫生院医疗服务社会效果(益)的指标:门诊和住院服务复盖面,居民人均获得的门诊和住院服务量。并且运用逐步回归分析方法,从45种因素中筛选了10种影响上述4指标的诸因素:村卫生室的医疗服务能力,县医院服务的可及程度,居民患病率与患病就诊率,人口密度和居民对乡镇卫生院满意程度等。文章指出,乡镇卫生院社会效果(益)主要由外界因素制约,而非追求自身利益,卫生院对此可控程度很低.最后,文章提出进一步研究乡镇卫生院效果的重要性和可能途径。
From the perspective of methodology, this paper proposes four indicators that reflect the social effects (benefit) of medical services in township and township hospitals: coverage of outpatient and inpatient services, and outpatient and inpatient services received by residents. And stepwise regression analysis was used to screen 10 factors affecting the above 4 indicators from 45 factors: medical service capacity in village clinics, availability of services in county hospitals, prevalence of residents and prevalence of medical consultations, Population density and residents’ satisfaction with township hospitals. The article points out that the social effects of township health centers are mainly constrained by external factors, rather than pursuing their own interests, and the degree of control is very low for health centers. Finally, the article puts forward the importance and possible ways of further studying the effect of township health centers.