重庆市2016年基本公共卫生服务项目绩效评估情况

目的　了解重庆市2016年基本公共卫生服务项目绩效评估情况,为提高基本公共卫生服务质量提供对策建议。方法　根据重庆市社区与农村卫生协会数据库中的“重庆市基本公共卫生服务项目绩效评估”相应报表,收集并比较重庆市都市功能核心区+都市功能拓展区、城市发展新区、渝东北生态涵养发展区、渝东南生态保护发展区4类功能区的12项公共卫生服务绩效评估数据。结果　4类功能区开展基本公共卫生服务的总体情况得分率分别为（0.97±0.02）%、（0.98±0.10）%、（0.88±0.13）%、（0.83±0.14）%,4者比较,差异有统计学意义（P<0.05）;其中,都市功能核心区+都市功能拓展区、城市发展新区的总体情况得分率高于渝东北生态涵养发展区、渝东南生态保护发展区,差异有统计学意义（P<0.05）。12项公共卫生服务项目中,4类功能区在居民健康档案、健康教育、预防接种、0~6岁儿童健康管理、孕产妇健康管理、老年人健康管理、高血压健康管理、糖尿病健康管理、重性精神疾病健康管理、传染病/突发公共卫生事件、中医药健康管理方面的得分率比较,差异有统计学意义（P<0.05）;在卫生监督方面的得分率比较,差异无统计学意义（P>0.05）。结论　重庆市基本公共卫生服务的开展质量未达“均等化”,不同功能区的基本公共卫生服务质量存在差异。

Analysis of the Performance Evaluation of Basic Public Health Service Projects in Chongqing in 2016

Objective　To understand the performance evaluation of basic public health service projects in 2016 in Chongqing and to provide suggestions for improving the quality of basic public health services.Methods　According to the corresponding report（Chongqing Basic Public Health Service Project Performance Appraisal）within the database of the Chongqing Community and Rural Health Association,12 items of public health service performance evaluation data of four functional areas,including the Chongqing urban functional core area + the urban function expansion area,the urban development new area,the ecological conservation area of north Chongqing,and the ecological conservation area of southeast Chongqing,were collected and compared.Results　The overall scores of basic public health services in the fourfunctional areas were（0.97±0.02）%,（0.98±0.10）%,（0.88±0.13）%,and （0.83±0.14）%,respectively,which was a statistically significant difference（P<0.05）．The scores of the urban functional core area + urban functional expansion area and urban development new area were higher than the ecological conservation area in north Chongqing and the ecological conservation area in southeast Chongqing,and the differences were statistically significant（P<0.05）．Of the 12 public health service items,there were significant differences in the following items：health education;residents' health records;vaccinations;health management of children 0–6 years of age;maternal health management;elderly health management;hypertension management;diabetes management;severe mental illness management;infectious diseases/emergency public health management;and traditional Chinese medicine management among the four functional areas（P<0.05）．There was no significant difference in health supervision（P>0.05）．Conclusion　The quality of basic public health services in Chongqing did not reach "equalization", and there were differences in the quality of basic public health services in different functional areas.