全国社区卫生服务现状调查

目的 了解中国社区卫生服务发展的现状及成效。方法2003年8～9月，应用分层随机抽样的方法，对全国11个省、自治区、直辖市的卫生行政部门、社区卫生服务机构、社区居民及社区卫生服务相关部门进行定性与定量调查。结果我国社区卫生服务已初具规模，政府专项经费的投入逐年增加，人员培训广泛开展，多数社区卫生服务中心／站的软、硬件条件基本能够满足社区卫生服务的需要，社区卫生服务举办类型的多元化局面已初步形成，社区卫生服务的优势得到一定程度的体现；我国社区卫生服务发展水平存在明显的地区差异，部分地区在政府经费投入、社保等社区卫生服务政策、社区卫生服务机构建设的基本务件等方面存在不足。结论应明确社区卫生服务机构的合法地位；加强政府对社区卫生服务的资金投入，合理分配社区卫生资源；制定医保倾斜政策，促进病人向社区卫生服务机构合理流动；根据不同地区社会经济发展水平制定不同的社区卫生服务政策，分类指导，开发符合当地实际情况的社区卫生服务政策；合理划分社区卫生服务中心／站的服务范围；认清社区卫生服务多元化的发展趋势，充分发挥政府对社区卫生服务的监管作用；加强社区卫生服务机构的硬件建设，完善其基本功能；加强全科医学培训，提高社区卫生人员业务水平；提倡对病人的就医指导，促进双向转诊制度的建立；发挥社区卫生服务在时间和地域可及性的优势，努力创造对技术和资源的可及性，

A Survey on the Status Quo of Chinese Community Health Service

Objective To make sure about the developi ng status quo and the effect of community health service in nowadays China. Methods On August and September 2003,with random sampling,an in vestigation was done by qualitative and quantitative methods. The object of this investigation included all kinds of healthy administration, CHS, community dwel ler, and other department relating to CHS in 11 provinces and municipalities. Results CHS in China has made some progress, the governmental outlay in CHS are increasing annually, personnel training are developing widely, the equipment in most organizations of CHS can meet the needs of community heal th, the advantages of CHS can be seen and the CHS has been accepted by resident. Some problems exist too, such as the distinct area different in basic condition s of CHS, and insufficient funds and measures in some area. Conclusion The legitimate status and service range of CHS should be defined; th e funds in CHS should be increased; the healthy resource should be distributed p roperly; the policy should be inclined to CHS; the different measures should be established according on different area; the governmental supervision should be functioned well; the basic facilities should be strengthened; the training on CH S staff should be enhanced; the system of two-side medical care should be establ ished; the advantages of CHS should be utilized maximally; the technique and res ources of access to CHS should be created by effort.