农村基本医疗服务提供能力现状分析

Provision capacity research of primary healthcare services in rural China

目的分析农村基层卫生机构的基本医疗服务开展现状及制约因素，提出政策建议。方法利用第四次卫生服务调查数据，采取定量调查和定性访谈方法，对全国31个省市共348所乡镇卫生院及251所村卫生室进行调查访谈。结果乡镇卫生院基本医疗服务项目开展比例平均为49．1％（28．0／57），村卫生室平均为60．6％（5．4／9）。结论提高基本检查设备配置水平、提升基层卫生人员诊疗能力、建立基本医疗连续性服务制度，是健全农村基层医疗卫生服务体系的关键。

Objective Studying the status quo and constraints for rural healthcare service in grassroot rural healthcare units, for policy recommendations. Methods Using data from the fourth healthcare service investigation, by means of quantitative interview and qualitative interview, for an investigative interview of 348 township hospitals and 251 village clinics in 31 provinces in China. Results Deployment percentage of primary healthcare services at township hospitals level is 49. 1%（28. 0/57）, and that for village clinics is 60. 6%（5.4/9）. Conclusions The key to upgrading rural healtheare service system at grassroots level is to deploy better diagnostic equipments, upgrade the diagnostic competence of grassroots healthcare personnel and build a continuous service system for primary healthcare service.