农村基层卫生服务研究课题设计,抽样与资料收集方法学

本课题主要了解农村地区基本卫生服务情况,包括门诊、住院、用药、妇幼卫生及地方病防治以及不同医疗保健制度对它们的影响。卫生工作不仅与卫生服务提供有关,而且与居民的卫生服务需要与需求也有密切的联系。对同一卫生问题,不同人群(卫生服务提供者、接受者及干部等)可能有不同的看法,因此为了解基层卫生服务的全面情况,本次调查不仅收集了卫生服务机构的信息、医生的行医行为、门诊与住院病人     

贫困地区卫生服务质量评价的思考

加强项目地区卫生服务质量管理是确保卫生8项目计划成功实施的关键措施之一,卫生服务质量评价是质量管理的必要手段。文章首先从理论上对卫生服务质量和卫生服务质量评价的概念进行了探索,然后结合项目的实际提出了项目地区开展卫生服务质量评价的目的、评价的基本原则和评价的主要内容。     

卫生资源配置方法学研究

为贯彻落实《中共中央、国务院关于卫生改革与发展的决定》和国家计委、财政部、卫生部《关于开展区域卫生规划工作的指导意见》，推动我国区域卫生机构、卫生设施等卫生资源的合理配置，本研究以系统论为基础，根据规划期服务效率、效益目标，对卫生资源配置的方法学进行探讨。研究结果为我国不同类型区域定量定性研究卫生资源合理配置提供了可供借鉴的理论、方法。     

提高卫生管理水平 改善农村卫生服务质量--安徽省卫生Ⅷ项目地区卫生服务管理水平分析

对安徽省利用世行贷款对卫生Ⅷ项目地区基本卫生服务管理水平的改善情况进行分析。结果显示：各级卫生规划与管理能力提高；乡镇卫生院服务条件改善，服务效率提高；乡镇卫生院领导层管理水平提高。但是存在配套资金落实困难较大，激励机制不健全，软硬件失衡等问题。建议：加大项目管理力度，完善项目监督机制，建立项目示范点。     

济南市卫生科技人才综合素质质量化评价方法学探讨

分析了《济南市卫生科技人才队伍现状及2010年发展现划研究》中18家医院的机构调查资料,提出了量化评价卫生科技人才综合素质的新思路和具体计算公式,旨在探讨一种能客观反映卫生科技人才综合素质的科学方法。     

民营乡镇卫生院卫生服务质量评价研究

目的对民营乡镇卫生院的卫生服务质量进行综合评价,为提高民营乡镇卫生院服务质量以及与公立卫生院相比较提供科学依据。方法采用秩和比法(RSR)进行综合评价。结果沂涛、茆圩、新河、耿圩、塘沟、刘集和扎下7家医院最好,高墟、西圩、七雄、庙头、龙庙、钱集和青伊湖农场7家医院最差。结论民营乡镇卫生院卫生服务质量总体水平较高,但综合管理水平有待提高;沭阳县民营乡镇卫生院分档均衡,需重点关注档次较低的民营乡镇卫生院以缩小差距。     

济南市卫生科技人才综合素质量化评价方法学探讨

分析了《济南市卫生科技人才队伍现状及2010年发展现划研究》中18家医院的机构调查资料,提出了量化评价卫生科技人才综合素质的新思路和具体计算公式,旨在探讨一种能客观反映卫生科技人才综合素质的科学方法.     

贫困地区卫生服务质量管理中的主要问题及其对策

本文通过对部分卫生VⅢ项目县现场调研材料的总结与分析。找出了贫困地区卫生服务质量管理中存在的主要问题。提出了加强质量教育,提高质量意识,转变思想观察;完善质量管理制度,制定质量标准;健全监测网络,加强监督检查等加强贫困地区卫生服务质量管理的对策建议。     

农村乡镇卫生院服务质量评价主体研究

通过对农村乡镇卫生院服务质量的评价主体的分析，提出农村乡镇卫生院服务质量三方综合评价。对该评价模式中不同评价主体与客体之间的适宜程度、评价的有机综合进行分析，并阐述了兰方综合评价的意义。为农村卫生服务质量评价、促进和提高农村卫生服务质量提供参考和借鉴。     

山东省医疗机构服务质量评价研究

在山东省范围内根据经济水平好、中、差分别选择三级医院1所,二级医院3所,对其医疗质量、平均住院日、平均医疗费用、病人满意度进行了调查分析,提出目前医院应注意调整医疗收费结构,降低医药费用,特别是药费价格,提高人员素质,改善服务质量。     

An Agricultural Safety and Health Information Needs Assessment for Rural Service Providers

The purpose of this survey was to identify the educational needs of service providers for information on the prevention and control of agricultural injury and illness. A random sample of 28% from each of the state provider groups was chosen. These groups included veterinarians, chiropractors, extension agents, farm implement dealers and physicians. An exception to this strategy was public health nursing directors, where all were chosen due to the small sample size. Provider groups were identified from state licensure and association lists excluding zip codes of 554 and 551 (metropolitan area). Of the 593 valid questionnaires returned (59% overall response rate) the average age of the respondents was 45 years; males accounted for 77%; average length of professional practice was 18 years; and 39% of respondents had farmed at least some time in their lives. The respondents overall showed greatest interest in receiving information on lung and breathing problems, farm machinery injury, safe handling of agrichemicals and poisoning. The most valuable information in the past two years has been received from the Cooperative Extension Service, professional magazines and educational conferences. In general, respondents reported a greater level of interest in future sources of information that may be viewed as specific to the need of the provider group and in a permanent form that they could keep or refer back to if the need arose (e.g., newsletters, films/videotapes and magazines) or in sources that involved direct contact with people regarded as experts in the field (e.g., Cooperative Extension Service and health care professionals).     

基于顾客视角的社区卫生服务质量评价量表的构建

参考PZB修正的SERVQUAL量表,采用文献分析、问卷调查的方法,构建评价社区卫生服务质量的原始指标,通过预调查进行项目分析后修正问卷,以期开发出适合当前国情特点和体现医疗卫生体制改革阶段性特征的社区卫生服务服务质量测量量表。     

National Health Insurance Scheme: An Assessment of Service Quality and Clients' Dissatisfaction

BackgroundHealth Insurance Scheme (NHIS), a medical package to start with a fraction of Nigerians at its inception, with the expectation of optimal services to all in the long The Nigerian government established National run. However, there are complaints and dissatisfaction of enrolees of the scheme. This study determined factors responsible for enrolees'' dissatisfaction of services in a general hospital within the federal capital territory, Abuja.MethodThree hundred enrolees of National Health Insurance Scheme at the Kubwa general hospital were enrolled. Semi structured questionnaires were used to obtain information on socio-demography, education, enrolee status, perception of the scheme and factors responsible for enrolees'' dissatisfaction. SPSS version 22 was used to analyse Data using percentage.ResultsMajority (66.3%) of the respondents were between 35 and 54 years while 28.5% were below 35years and 11.8% (32) were above 54years with the male to female ratio was 1.03:1. Sixty percent (179) of the respondents had a minimum of tertiary education with just 1.8% having primary education. Most (69.9% and 79.6%) respondents were principal enrolees and public servants respectively. Seventy percent of the respondents have been enrolled in NHIS for more than 3years and had a good perspective of the scheme. However, 30% of the respondents were not satisfied with NHIS services with 8.6% and 15.4% describing the services as substandard and below expectations respectively. Half (50.7%) of the respondents would consider an alternative to NHIS suggesting their dissatisfaction. The major factors responsible for dissatisfaction were billing system, long waiting hours and staff attitude accounting for 46.9%, 59.4% and 7.8% respectively.ConclusionThis study revealed that the level of clients'' dissatisfaction with NHIS services is high despite their acceptance of the scheme with the major areas of concern being the billing system, waiting time and staff attitude. Therefore, it is necessary for the providers to look more into these areas as targets for service delivery improvement.     

Characterization of Rural Mental Health Service Systems

This paper explores two mental health systems in rural North Carolina that provide services to people with severe mental disorders. Recent findings show rural people with mental disorders receive less mental health care than their urban counterparts. This study asks whether rural service systems differ from urban systems in the way that their services are coordinated and structured. A popular conception is that public mental health systems in the United States are uncoordinated with many services provided outside the mental health sector. Rural service providers are seen as even more dependent on nonspecialized mental health providers than their urban counterparts. While many rural service barriers are attributed to the rural environment, little is known about rural service systems and how their organization might contribute to or negate barriers to care. Social network methods were used in this study to compare two rural with four urban systems of care. Findings confirm that mental health systems fit the de facto hypothesis, but that rural systems differ in ways not anticipated by the hypothesis. Rather than being more dependent on nonmental health agencies, rural mental health agencies are more interdependent.     

加强农村卫生事业建设的思考与对策

该文针对当前我国农村卫生工作存在的六方面不足，相应提出了六方面对策措施建议，从而促进农村医疗卫生水平的提高，以农民健康促农村小康。     

农村社区卫生服务中心服务功能分析

目的：分析农村社区卫生服务功能。方法：采用查阅文献法和问卷调查法。结果：该市实施全科医疗以来，社区卫生服务中心具备一定功能，但从总体看有待于进一步完善。结论：建立以问题为中心的居民健康档案；建立基于全科医疗服务理念上的诊疗职责和流程；提高项目诊疗和管理水平；规范和开发常见病种项目预防和干预；拓展社区康复项目。