论文部分内容阅读
目的:了解济宁市基本公共卫生服务实施背景下乡镇卫生院、村卫生室工作人员对乡村卫生服务一体化内容的认知以及实施状况评价,发现存在的问题,为促进农村基本公共卫生服务的发展提供建议。方法:查阅相关文献,针对乡村卫生服务一体化管理方面的问题制定问卷,按照随机抽样的方法从样本地区抽取乡镇卫生院110名、乡村医生300名进行问卷调查。结果:72.9%的乡镇卫生院工作人员与55.17%的乡村医生认为一体化管理对基本公共卫生服务的开展具有促进作用;51.40%的乡镇卫生院工作人员支持隶属关系,52.40%的乡村医生支持平等关系;两组人群对于一体化管理内容中的“统一药械购销”、“统一财务管理”实施现状的评价情况不同,以上差异均具有统计学意义。结论:提升基层卫生工作人员对基本公共卫生重要性的认知度,严格监管药品管理、专项资金的使用,优化基层卫生工作人员的社会保障,充分调动基层卫生工作人员对乡村卫生服务一体化的积极性,以早日实现基本公共卫生服务均等化的目标。
OBJECTIVE: To understand the cognition and implementation status of village health centers and village health workers in the implementation of basic public health services in Jining, and to find out the existing problems. In order to promote the development of rural basic public health services Give suggestion. Methods: According to the relevant literature, a questionnaire was drawn up for the integrated management of rural health services. According to the random sampling method, 110 township hospitals and 300 village doctors were surveyed from the sample area. Results: 72.9% of township hospital staff and 55.17% of village doctors believed that integrated management promoted the development of basic public health services; 51.40% of township hospital staff supported affiliation and 52.40% of rural doctors supported equality Relationship between the two groups of people in the integration of management content “unified pharmacy purchase ”, “unified financial management ” status of the implementation of the evaluation of the situation is different, the above differences were statistically significant. Conclusion: It is necessary to raise the awareness of grass-roots health workers about the importance of basic public health, to strictly supervise the use of drug management and special funds, to optimize the social security of grassroots health workers and to fully mobilize grass-roots health workers to integrate rural health services Initiative to achieve the goal of equalization of basic public health services as soon as possible.