抚州市两区社区公共卫生服务现况对比研究

摘要

Objective To comparatively study the current situation of community public health services in community health services (CHS) institutions of urban area and Jinchao economic development zone of Fuzhou city so as to provide basis for establishing the policy of community health services. Methods There were 23 CHS centers in the urban area and 3 in the Jinchao economic development zone. At least 50 residents form each center were interviewed randomly, and totally 1 438 persons were investigated about establishment of health records, and awareness, utilization and satisfaction of free health public health services. Results The awareness rate of the residents on establishing health record was 75. 9% , of which the rate was 94. 4% in Jinchao economic development zone and 73. 2% in the urban area. The awareness rate of the residents on fee public health services was 88. 3% , of which the rate was 98. 3% in Jinchao economic development zone and 86. 8% in urban area. The utilization rate of public health services was 66.1% , of which the rate was 89. 3% in Jinchao economic development zone and 63. 3% in the urban area. The satisfaction rate on health service was 80. 6% , of which the rate was 94. 4% in Jinchao economic development zone and 78. 1 % in urban area. Conclusion The development of public health service of economic development zone of Jinchao is better than urban area. " Six in one" function of CHS needs to be improved in the two areas. To improve the quality of the public health service of CHS institutions, it is necessary to coordinate governmental management function, achieve the highly support of the grassroots government, perfect the management mechanism of CHS institution, and combine the and the assessment of CHS performance with subsidies, rewarding the good and punishing the bad.%目的 对比研究抚州市市城区与金巢经济开发区社区卫生服务机构开展社区公共卫生服务的现况,为制定社区卫生服务政策提供依据.方法 抚州市城区共有23个社区卫生服务中心(站),金巢经济开发区共有3个社区卫生服务中心,对每个社区卫生服务中心(站)辖区随机走访不少于50名居民.共入户调查1 438人,了解健康档案建档、免费公共卫生服务项目知晓、利用及服务满意度等.结果 社区居民对建立健康档案的知晓率为75.9％,金巢经济开发区为94.4％,市城区为73.2％；免费公共卫生服务项目的知晓率为88.3％,金巢经济开发区为98.3％,市城区为86.8％；公共卫生服务利用率为66.7％,金巢经济开发区为89.3％,市城区为63.3％；卫生服务满意度为80.6％,金巢经济开发区为94.4％,市城区为78.1％.结论 金巢经济开发区公共卫生服务开展情况较市城区好.两区社区卫生服务“六位一体”功能需要进一步完善.提高社区卫生服务机构的公共卫生服务质量,需要协调政府管理职能,取得基层政府的高度支持,健全社区卫生服务机构管理机制,将社区卫生服务绩效评价和补助进行有机结合,奖优罚劣.