新形势下农村预防保健体系改革与完善

Reforming and improving rural prevention and health care system

目的:了解南通市基层预防保健体系改革情况及运行状况。方法:采用整群抽样方法,对南通市3个县(市)82家乡镇卫生所和卫生院防保科进行调查。结果:成立独立卫生所后防保人员素质有了明显提高,但总体还处于较低水平;固定资产及设备的拥有量均以通州为最高;服务收费在三个地区的收入中均占很大比例,上级拨款所占比例较小。结论:独立卫生所的成立使防保人员的素质有了较大程度的提高,强化了卫生行政管理职能,扩大卫生服务范围,完善三级医疗预防保健网络,但同时也存在资源受限,经费紧张,人员不足的困难。

Objective： To explore the reformation and status of prevention and health care system in the country of Nantong. Methods： Cluster sampling method was carried out for selecting health centers. The data of 82 health centers from 3 counties were analyzed. Results： After the independent township public health centers （TPHC） were established, the personnel quality got improved significantly, but the overall was still in the low level; the total fixed asset and equipment in Tongzhou were the highest; the service charge accounted for the major part of revenue in three counties, and government budget was quite limited. Conclusion： The independently established TPHC improve the personnel quality and enhance the health administrative function, extend the range of public health service, and perfect the operation of three-tier health network. However, there also exist problems such as health resources limitation, financial shortage and deficient staffs.