湖南某县农村基本公共卫生服务实施现状评价

发布时间：2018-10-13 07:13

【摘要】：目的了解湖南某县农村基本公共卫生服务实施现状,探索农村基本公共卫生服务存在的困难和不足,并提出相应的对策。方法收集该县农村基本公共卫生服务项目实施的相关政策文件、月季年度报表、年度考核、年度总结报告等资料,并通过专题座谈会与关键人物访谈及抽样调查等获得相关资料。结果该县基本公共卫生服务实施组织架构健全,项目经费未达到国家要求,基层卫生服务人员队伍建设滞后,资金到位不及时。健康档案建档率79.6%、档案合格率84.0%;预防接种率98.4%;老年人体检率达94.7%,规范管理率34.6%;新生儿访视率93.2%,儿童管理率90.1%;产前服务率93.3%,产后访视率75.3%,5次及以上随访率为0.0%;高血压和糖尿病规范管理率分别为49.3%和55.4%,血压、血糖控制率为55%左右;重性精神疾病规范管理率64.7%,病情稳定率71.4%。结论该县基本公共卫生项目取得了一定成效,但合乎《项目服务规范》要求的比例低,存在服务质量不高、经费不足、拨付滞后、服务能力较差等问题。建议各部门提高认识,确保经费足额、及时到位,加强基层服务人员配备,同时规范服务流程,推进信息化进程,完善监管体系和绩效考核制度,促进基本公共卫生服务均等化的进程。
[Abstract]:Objective to understand the present situation of basic public health services in rural areas in a certain county of Hunan Province, explore the difficulties and shortcomings of basic public health services in rural areas, and put forward corresponding countermeasures. Methods the relevant policy documents, annual report, annual assessment and annual summary report of basic public health service in rural areas were collected. And through the symposium and key people interviews and sample surveys to obtain relevant information. Results the implementation of basic public health services in the county was well organized, the project funds did not meet the requirements of the state, the construction of basic health service personnel lagged behind, and the funds were not in place in time. 79.6% of health archives, 84.0% of qualified files; 98.4% of vaccination coverage rate; 94.7% of medical examination rate of the elderly, 34.6% of standardized management rate; 93.2% of neonatal visit rate and 90.1% of child management rate; 93.3% of antenatal service rate, 75.3% of postpartum visit rate and 0.03% of follow-up rate; The standardized management rates of pressure and diabetes were 49.3% and 55.4%, respectively. The control rate of blood sugar was about 55%, the standardized management rate of severe mental illness was 64.7%, and the stable rate of illness was 71.4%. Conclusion the basic public health project in this county has achieved certain results, but the proportion that accords with the project service standard is low, the service quality is not high, the fund is insufficient, the allocation is lagged, the service ability is poor, and so on. It is suggested that all departments should raise their awareness, ensure that funds are fully funded, be in place in a timely manner, strengthen the staffing of grass-roots services, standardize service processes, promote the information process, and improve the supervision system and performance appraisal system. The process of promoting equalization of basic public health services.
【作者单位】：南华大学公共卫生学院;祁东县卫生和计划生育局;
【基金】：湖南省卫生和计划生育委员会资助项目(No:B2013-036) 衡阳市科技局资助项目(No:2012ks7)
【分类号】：R197.1

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