深圳市劳务工主分布区社康中心资源配置现状分析

Status of Resource Allocation of Community Health Center in Main Labor Distribution Regions of Shenzhen

目的了解深圳市劳务工主分布区社康中心的资源配置现状及存在的问题,为提高其服务能力提供参考建议。方法将宝安区和龙岗区作为劳务工主分布区,福田区和罗湖区作为次分布区,比较社康中心服务能力指标在劳务工主分布区内部及主次分布区之间的差别。结果截至2010年,各区业务用房面积在主次分布区间差异无统计学意义(P>0.01),租用是社康中心用房的主要来源。主次分布区的机构总收入间差异无统计学意义(P>0.01)。各区药品收入占门诊收入的比例均超过45%。各区社康中心人力资源的实际配备数量均低于标准,主分布区全科医师的配备数量高于次分布区,差异有统计学意义(P<0.01);中医和公共卫生医师的缺口最大,而主分布区的差距高于次分布区,尤其是宝安区。结论财政对社康中心的补助力度有限;劳务工主分布区社康中心人力资源配置不合理,影响劳务工对卫生服务的利用;社康中心的中医服务功能尚未得到有效发挥。

Objective To analyze the present situation of resource allocation of community health centers （CHC） and the existing problems so as to provide a reference to improve the service ability of CHC. Methods Baoan and Longgang districts were taken as main labor distribution regions （MLDR） and Futian and Luohu as secondary labor distribution regions （SLDR）. The indicators for service ability of CHC between MLDR and SLDR were comparatively analyzed. Results By 2010, there was no significant difference in area of business houses between MLDR and SLDR （P 〉0. 01 ）. The houses of CHC were mainly rented. No statistical difference in total income was found between （ P 〉 0. 01 ）. The drug income accounted for more than 45% of the clinic income in all the districts. The actual amount of human resource allocation in all districts was lower than the standard. The number of doctors in MLDR were higher than that of SLDR, with a significant difference （P 〈0. 01 ）. The number of traditional Chinese doctors and public health doctors were of the most shortage, especially in MLDR like Baoan. Conclusion The financial subsidy to CHC is limited. The human resource allocation of CHC of MLDR is unreasonable and thus it influences the utiIization of health service by laborers. And the traditional Chinese medicine in CHC remains to be allowed to play its service function fully.