四川省少数民族地区乡镇卫生院服务能力现状研究

目的:了解四川省民族地区乡镇卫生院数量、设备拥有情况、人员及卫生服务能力等情况。方法:采用自制调查问卷对2008年四川省60个民族及民族待遇县乡镇卫生院进行调查。结果:收回数据的52个民族及民族待遇县共有乡镇卫生院1180.00所,其中,中心卫生院208.00所,一般乡镇卫生院972.00所,卫生技术人员职称以初级为主占56.69%,卫生院设备短缺,业务开展情况不理想,手术类的医疗服务项目开展情况最差,各地区机构业务收入均低于业务支出,收不抵支。结论:政府加大对乡镇卫生院的投入,同时注意投入结构和投入方向的调整;建立稳定的双向流动对口支援机制,提高卫生技术人员业务素质;建立"县医院—乡镇卫生院"服务延伸网络,提高乡镇卫生院的技术水平和服务能力。

Research of current status of township hospital service capabilities in minority regions of Sichuan province

Objective:To investigate the total number of township hospitals in minority regions of Sichuan Province,the quantity of equipments,the human resource information,and the service capabilities.Methods:Self-made questionnaire was used to survey the township hospitals in 60 minority counties in Sichuan.Results:There are 1180 township hospitals in 52 minority counties that returned survey data,which are 208 central township hospitals and 972 general township hospitals.The majority professional titles of the medical personnel are low rank titles.The equipments are lack.The medical services of the hospitals are not well developed,among them,surgery treatments are the worst.The operating expenses are higher than the revenue in many hospitals.Conclusions:The government’s health investment to township hospitals should be strengthened,and the structure and the direction of the investment should be adjusted.The stable two-way personnel exchange and support mechanism should be established to improve the quality of the medical personnel.The county-township hospitals service expansion network should be established to promote the service capabilities of township hospitals.