深圳社区卫生服务发展中的问题与对策

Problem of community health service and strategy in Shenzhen

目的 探讨深圳社区卫生服务发展中的主要问题 ,为制定对策提供科学依据。方法 采用问卷调查法和观察法。结果 深圳社区卫生服务存在的主要问题是 :(1)社区卫生人力资源结构不协调 ,如社区医护比例为 1:0 75 ,医护人员整体素质不高 ;(2 )社区医护人员岗位培训机会少 ;(3)业务用房租金太贵。结论 根据研究结果和存在的主要问题提出以下对策 :(1)深圳社区卫生服务人力资源结构应作适当的调整 ;(2 )社区卫生服务设施应与社区建设同步发展 ;(3)组建深圳市全科医学教育部 。

Objective To study the main problems of the community health service in Shenzhen and provide the scientific basis for strategy making.Methods Both questionnaire and observation were adopted.Results The main problems existing in Shenzhen community health services were as follows:(1)the structural incoordination of the community health human resources,eg the doctor nurse ratio 1:0 75,and low quality concerning the total health workers;(2)insufficient on-post training of the community health workers;(3)the expensive rent of the service office.Conclusion Following strategies were presented:(1)To make proper adjustment to the human resource structure of Shenzhen community health service;(2)To improve the community health service facilities along with the community development;(3)To create a training department for general medicine education under Shenzhen Medical Training Center,providing more chances to the community health workers for on-post training.