农村心血管疾病防治适宜技术推广绩效分析

Evaluation on effect of feasible medical technique application in treatment of cardiovascular diseases in rural areas

目的了解河南省农村心血管防治适宜技术示范研究6个西医技术项目的推广绩效。方法从适宜技术推广能力和推广效率两方面入手,通过专家咨询法,结合现场调查,最终确定医疗质量、医疗工作量、经济和社会效益等12项指标评价推广绩效。结果参与推广的技术人员中中高级技术职称占57.8%,大专以上学历占58.0%;接受培训的346名卫生技术人员中89.0%熟练掌握了培训内容;累计推广心血管疾病防治适宜技术46例,人均推广0.133例;以慢性心力衰竭规范治疗技术推广效果最好。结论河南省农村心血管疾病防治适宜技术推广示范有一定绩效,还应进一步提高推广效率。

Objective To evaluate the effect of feasible medical technique applicatron in treatment of cardiovascular diseases （CVDs） in Henan rural areas. Methods The evaluation was made on the application capability, efficacy and the effect was assessed with 12 indexes by the technique for order preference by similarity to ideal solution （TOPSIS） meghod. Results 57.8% （200/346） of medical personnel participating the appliccation of feasible medical technique of CVDs treatment was with middle or senior technical title. 58.0% of medical personnel participating the project was graduated from medical college. 89.0% of the project participants acquired the training contents well. Averagely 0. 133 of CVDs case was treated with the feasible medical technique by one trainee in one year. The application of standard treatment of chronic heart failure showed the best effect in the rural area. Condusion The feasible medlical technique application in treatment of CVDs was effective in the rural of Henan.