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目的:进一步强化贵阳市村卫生室的基本建设和村卫生室的卫生医疗服务管理。方法:对贵阳市郊县的81个村按农民人均收入分成好、中、差三类,然后对这三类村的村卫生室进行抽样调查,并组织经过培训具有5年以上临床经验的县级临床医师,对村卫生室的基本建设和村卫生室的卫生医疗服务情况进行个人访谈和问卷摸底调查。结果:村医对健康教育和财务管理的重视程度低,分别仅占8.64%和2.47%;同时,药品销售收入所占比例仍然过大,达85.96%,80.12%的村医的年药品纯收入是当地农民年收入的7倍左右,而业务收入仅是当地农民年收入的1~2倍。结论:在实施新型农村合作医疗的今天,村卫生室应坚持公益性和非盈利性,并强化村委会和乡(镇)卫生院对村卫生室的管理功能以及村民对村卫生室的监督功能,以保证新型农村合作医疗的资金安全和顺利开展。
Objective: To further strengthen the basic construction of village clinics in Guiyang and the health care service management in village clinics. Methods: 81 villages in suburbs of Guiyang were divided into three categories according to the per capita income of farmers, and then the village clinics of the three types of villages were surveyed and sampled. County-level clinics trained over five years Level clinicians conducted a personal interview and questionnaire survey on the basic construction of village clinics and the health care services of village clinics. Results: The village doctors paid less attention to health education and financial management, accounting for only 8.64% and 2.47% respectively. At the same time, the proportion of the sales revenue of medicines was still too large, accounting for 85.96% and 80.12% of annual net income of village doctors Is about 7 times the annual income of local farmers, and business income is only 1 to 2 times the annual income of local farmers. Conclusion: Today, the implementation of new rural cooperative medical care, village clinics should adhere to public welfare and non-profit, and strengthen the village committee and township (town) hospitals to strengthen the management of village clinics and villagers of the village clinic supervision Function, in order to ensure the funding of new rural cooperative medical security and smooth development.