四川省农村地区基层医疗卫生服务机构开展乳腺癌筛查的能力评估

发布时间：2018-11-21 18:53

【摘要】：目的综合评价四川省农村基层医疗卫生服务机构开展乳腺癌筛查的能力。方法通过查阅文献、德尔菲法和专题小组讨论制定了机构建设、人力资源、筛查设备配置和公共卫生服务四大类指标体系;运用既往资料收集、现场观察、电话访问,获取四川省40家乡镇卫生院的各类指标,统计描述机构的乳腺癌筛查能力,采用t检验或χ2/Fisher检验方法比较不同经济水平地区和不同地理地貌地区机构的各项评价指标差异。结果本次调查的乡镇卫生院的平均业务用房面积(1 484±1 345)m2、设置床位(19±13)张,平均每家机构的在岗工作人员(23±21)人,其中卫生技术人员(19±16)人,占82.61%,在岗员工中大专及以上学历所占比例为34.78%,经济水平较高地区资源相对丰富。40家调查机构中只有2家(5.00%)配备有乳腺高频超声,没有机构配备有钼靶X线,仅有2家机构(5.00%)参与过乳腺癌筛查项目。结论四川省农村基层医疗卫生服务机构的基本建设和人力资源低于全国平均水平,应加强农村基层卫生机构的硬件投入和人力资源配置,为今后执行国家在农村地区开展乳腺癌等肿瘤筛查的计划提供保障,实现新医改服务均等化的目标。
[Abstract]:Objective to evaluate the ability of breast cancer screening in rural primary health care institutions in Sichuan province. Methods by consulting the literature, Delphi method and the panel discussed the establishment of institutional building, human resources, screening equipment allocation and public health services. Using the past data collection, field observation, telephone interview, to obtain all kinds of indicators of 40 township health centers in Sichuan Province, and to statistically describe the screening ability of breast cancer in the institutions. T test or 蠂 2/Fisher test were used to compare the difference of evaluation indexes between different economic level regions and different geographical and geomorphological regions. Results the average service area of township health centers was (1 484 卤1 345) m ~ 2, and the number of beds was (19 卤13). The average number of staff in each institution was (23 卤21), of which the number of health technicians was (19 卤16), accounting for 82.61%. The proportion of college degree and above is 34.78, and the area with higher economic level is relatively rich in resources. Only 2 of the 40 investigation institutions (5.00%) are equipped with high-frequency ultrasound of mammary gland, and no organization has molybdenum target X-ray. Only 2 institutions (5.00%) have participated in breast cancer screening programs. Conclusion the capital construction and human resources of rural primary medical and health service institutions in Sichuan Province are lower than the national average. The hardware input and human resource allocation of rural primary health care institutions should be strengthened. It provides guarantee for the implementation of the national plan of breast cancer screening in rural areas in the future, and realizes the goal of equalization of new health care reform services.
【作者单位】：四川省第二人民医院
【基金】：四川省卫生厅科学研究基金(080321、100361) 成都市科技局科技支撑项目(11PPYB002SF-289)
【分类号】：R197.1

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