全国社区卫生服务现状调查——江西省某市社区卫生服务访谈结果分析

Group Discussion Result Analysis of the Community Health Services in One City of Jiangxi Province

目的了解江西省社区卫生服务的相关政策落实情况、存在的问题,并收集解决这些问题的相关信息和建议。方法采用专题小组访谈和选题小组访谈法,对市、区卫生局的社区卫生服务领导,市社保部门负责人,市财政部门负责人、接受社区卫生服务的社区居民和社区一线医护人员分4个层次进行访谈。由访谈小组人员主持会议,专人录音和记录,访谈结束后及时对访谈结果进行归纳和整理。结果该市的社区卫生服务政策配套、财政和社保部门给予了较大支持,社区卫生服务的经济支持情况稍好于江西省的其他城市。但突出存在社区卫生服务资金不足、生存艰难等问题,在社区卫生服务人员培训方面有待加强。结论目前社区卫生服务政策中存在着功能界定不清、相关医保政策与社区卫生服务工作不协调、公共卫生服务项目缺乏资金支持等问题。解决好这些问题对于工作的开展将有极大的促进作用。

Objective To find out the implementation of the related policy, existent problems in community health service （CHS）, and collect the related information and suggestions to resolve these problems. Methods The focus group discussion and nominal group discussion were held to interview, leaders in charge of the CHS of the area public health bureau, directors of the city agency of labor and social security, city public finance, the community residents received the CHS, and the medical staff in community, divided into four layers to carry on the meeting. The interviewers emceed the meeting, specially assigned recording and note - taking in time. Results There were many supports to the CHS in the established policies, public finance and agencies of labor and social security in the city, the financial support was slightly better compared to other cities of Jiangxi province. But the funds shortage and difficult life problem still existed, and also the training of General practitioners was poorly conduced. Conclusion Currently, the function definition of the community health service policy is not very clear, and the related policy about social security is not harmonious with the CHS, the public health service program is short of funds support. Resolving these problems will promote the CHS work greatly.