四川省贫困地区乡镇卫生院业务开展能力分析

[目的]通过分析四川省贫困地区乡镇卫生院业务开展能力的现状,为加强西部贫困地区乡镇卫生院的服务能力提出建议。[方法]采用文献法、问卷调查、定性访谈收集资料,采用Fisher确切概率法检验,并结合卫生部公布的相关资料进行分析。[结果]中心卫生院的业务开展能力高于一般卫生院;所调查卫生院2005年的业务开展能力略高于1998年全国农村平均水平。[结论]四川省贫困地区乡镇卫生院的业务开展能力与全国农村水平仍有较大差距,应采取财政和项目支持等措施来加强贫困地区乡镇卫生院特别是一般乡镇卫生院的业务开展能力。

ANALYSISI ON THE ABILITY OF SERVICE PROVIDING OF TOWNSHIP HEALTH CENTERS IN POVERTY-STRICKEN AREAS IN SICHUAN PROVINCE

ObjectiveTo analyse the current situation of ability of service providing of township health centers in poverty-stricken areas of Sichuan province,to put forward suggestions for enhancing the service providing ability of township health centers in similar areas of West China.MethodsLiterature reviewing,questionnaires survey,and qualitative interview were used to collect data,then the obtained data together with data published by Ministry of Health P.R.were analyzed using Fisher,s exact probabilities.ResultsThe ability of service providing of town health centers was better than that of township health centers;the ability of those health centers in 2005 was a little better than that of national township health centers in 1998.ConclusionsThe ability of service providing of township health centers in poverty-stricken areas of Sichuan province is still much lower than that of national rural areas.Such measures as financial support and project support are advocated to enhance the ability of township health centers in poverty-stricken areas of West China,especially the primary township health centers.