上海市青浦区社区公共卫生服务状况调查分析

目的]对青浦区各社区提供的公共卫生服务成本进行调查,了解青浦区各级政府对社区公共卫生投入现状,并对存在的问题进行分析,为政府在公共卫生服务的投入上提供科学依据。方法]用专家会商法确定全区公共卫生服务项目,采用调查的方法收集全区各社区2010年公共卫生服务项目完成情况。结果]青浦区现有公共卫生服务医师人均服务面积在1.07 km2～5.95 km2之间,青浦区常住人口拥有公共卫生服务医师数在1.95～5.61/万之间,按照常住人口计算全区人均公共卫生服务投入为28.85元/人,工资性收入占到全部公共卫生费用支出的86.48%。结论]政府在公共卫生投入要兼顾服务人口、服务面积,在公共卫生的投入上要有统一规范的政策,满足公共卫生服务的均等化要求。

Investigation and analysis on community public health services in Qingpu District of Shanghai

Objective ] To investigate the capital input level of the government for public health services, and supply scientific basis for the work of the government. Methods] The detailed items of public health services were determined by the experts through consulting, then an investigation was conducted on the status of public health service in communities of Qingpu District in 2010. Results] On average, one public health physician offered services for an area of about 1.07 km^2 - 5.95 km^2 , and the num- ber of public health physicians was from 1.95 to 5.61 for per ten thousand permanent population. The capital input for the public health amounted to 28.85 yuan per person. The amount of salaries for physicians reached 86.48% of the whole expenses for public health. Conclusion] The size of area and population should be considered when deciding the capital input level for public health services, and unified and standard principles should be formulated by the government to meet the requirement for equalization of public health services.