北京市朝阳区社区卫生服务管理现状的调查

Community health management in Chaoyang district of Beijing

采用问卷调查和小组访谈分别调查147名和13名职工，了解目前北京市朝阳区社区卫生服务的运行状况。结果显示，66．7％的人认为“任务重，专业人员少”是工作中的主要问题。实行收支两条线的社区卫生机构职工中约50．0％对本单位的工资分配制度不满意，收入与劳动付出不成正比。建议统筹朝阳区城乡社区卫生及四种运行模式的发展；完善绩效考核方案和质量控制方案；适度增加社区卫生服务机构的编制或提高外聘人员的待遇。

Questionnaire survey （n = 147） and group interview （n = 13） were used for this investigation. Our results showed that 66. 7% of participants considered ＂heavy work burden and insufficient specialists＂ to be the main challenge. Half of community healthcare providers were not satisfied with the payment system. We suggest that the overall-consideration of community healthcare service development in urban and suburb areas and 4 kinds of performance patterns should be strengthened; the performance appraisal and quality control schemes should be modified; and the employee headcount in community healthcare centers or transferred employees＇ salary should be moderately increased in the future.