[1]李亚楠王桂霞刘喜文吕晖.健康扶贫背景下乡镇卫生院和村卫生室的现况调查[J].中国卫生质量管理,2020,27(05):139-143.
　LI Yanan,WANG Guixia,LIU Xiwen,et al.Township Hospitals and Village Clinics under the Background of Health Poverty Alleviation: A Cross-Sectional Study[J].Chinese Health Quality Management,2020,27(05):139-143.

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健康扶贫背景下乡镇卫生院和村卫生室的现况调查

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第27卷期数: 2020年05期页码: 139-143 栏目: 全民健康助力全面小康出版日期: 2020-09-28

Title:: Township Hospitals and Village Clinics under the Background of Health Poverty Alleviation: A Cross-Sectional Study

作者:: 李亚楠王桂霞刘喜文吕晖; 新乡医学院管理学院

Author(s):: LI Yanan; WANG Guixia; LIU Xiwen; et al; Firstauthor's addressSchool of Management, Xinxiang Medical University

关键词:: 健康扶贫; 乡镇卫生院; 精准扶贫; 现况调查

Keywords:: Health Poverty Alleviation; Township Hospitals; Targeted Poverty Alleviation; Current Situation Survey

分类号:: R197.1

文献标志码:: B

摘要:: 目的为更好地了解健康扶贫背景下某贫困县乡镇卫生院和村卫生室的现况及困境，并分析造成困境原因，提出相应改进建议。方法采用分层随机抽样方法，采用访谈、座谈和问卷调查相结合的方式收集并整理数据，采用SPSS19.0统计软件进行分析。结果乡镇卫生院均有对口支援单位；96.9%的村卫生室开展家庭医生签约服务；但人力资源人员构成不合理，优质卫生人员匮乏；62.5%的乡镇卫生院和68.8%的村卫生室认为药品配备不能满足公共卫生服务需求；医疗收入占总收入比重为79.39%，且医疗支出均大于医疗收入；健康知识和政策宣传途径多样，其中最普遍的方式为发放宣传手册，占比78.2%。结论人力资源匮乏，健康扶贫能力受限，应引导人才下沉，保障人力资源；卫生资金收不抵支，限制健康扶贫政策落实力度，应保障卫生资金有效分配，提高利用效率；乡镇卫生院现有的药物种类应对健康扶贫力不从心，应调整乡镇卫生院药物种类，助推其健康扶贫的能力；健康知识和政策宣传效果不佳，应创新健康知识和政策宣传形式，助力健康扶贫工作的深入开展

Abstract:: ObjectiveTo better understand the situation and difficulties of township hospitals and village clinics in a poverty-stricken county under the background of health poverty alleviation, and analyze the causes of the difficulties, put forward corresponding improvement suggestions.MethodsThe stratified random sampling method was adopted to collect and sort out the data by combining interview and questionnaire survey, and the SPSS 19.0 software was used for analysis.ResultsTownship hospitals had counterpart support units; 96.9% of village clinics carried out family doctor signing services. The composition of human resources personnel was unreasonable, and the number of high-quality health personnel was scarce. 62.5% of township hospitals and 68.8% of village clinics thought that the drug allocation could not meet the demand of public health services. The proportion of medical income was accounted for 79.39% in the total income, and the medical expenditure was greater than the medical income. There were various ways to publicize health knowledge and policies, among which the most common way was to distribute health brochures, accounting for 78.2%. Conclusion Due to the lack of human resources and the limited ability of health poverty alleviation, it is necessary to guide talents to service in primary agencies and ensure human resources. Health funds cannot meet expenditures and restrict the implementation of health poverty alleviation policies,and effective distribution of health funds should be ensured to improve utilization efficiency.The existing types of medicines in township hospitals should not be able to deal with health and poverty alleviation,and the types of medicines in township hospitals should be adjusted to promote the ability to alleviate poverty.Health knowledge and policy publicity is not effective, and health knowledge and policy publicity forms should be strengthened and innovated to help the in-depth development of health poverty alleviation

参考文献/References:

［1］刘军涛, 文松辉. 贵在精准重在精准——二论谋划好“十三五”时期扶贫开发工作［N］.人民日报, 2015-06-26(1).

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更新日期/Last Update: 2020-09-28