广州市社区卫生服务中心现状调查分析

目的了解广州市社区卫生服务中心现状,提出促进社区卫生服务发展对策。方法对广州市所有社区卫生服务中心进行问卷调查。结果广州市共有社区卫生服务中心123所,业务用房资料完整的有105所,所均面积1907m2,≥2000m2的有34所,占32.40%;123所社区卫生服务中心卫生人员中本科及以上者占27.3%,大专占32.7%,中专及以下占40.0%;无职称占17.00%,士级占25.70%,师级占33.20%,中级占19.00%,高级占5.10%;在提供的医疗卫生服务总人次中,诊疗人次占95.50%,公共卫生服务人次占4.50%。结论广州市社区卫生服务中心服务网络初步构建,服务功能日益完善,但业务用房未达要求,高学历、技术职称人员和公共卫生服务人次的比例低。

Study on the Present Situation of Comm unity Health Service in Guangzhou City

OBJECTIVES To know the present situation of Community Health Service（CHS）in Guangzhou City and provide development strategies. METHODS Questionnaires survey was taken in investigating all the community health service centers in Guangzhou City. RESULTS 123 community health service centers were investigated,the mean building areas of 105 community health service centers（18 of the 123 centers not given the data of house building） was 1 907 square meters,and 34 centers’house building area was less than 2 000 square meters. For 123 centers,the proportion of the staff graduated from colleges and technical secondary school were 32.70%, 40.00% respectively,and about 27.30% of them had received university or master degree. For 123 centers,the proportion of staffs of senior,medium,junior and no professional title was 5.10%, 19.00%,58.90% and 17.0% respectively. The proportion of received clinical treatment service and public health service in total number serviced by 123 centers was 95.50%,4.50%. CONCLUSIONS The basic network of CHS in Guangzhou City had been set up,its’service function gradually improved,but some problems still existed as follows： the low proportion of business real-estate which meet standard,the low proportion of higher education staff,low-level professional titles,public health services leave much to be desired.