福建省基层医疗卫生综合评价

Comprehensive evaluation of primary health care in Fujian

目的:了解福建省基层医疗卫生综合情况。方法:利用福建省医改中期评估调查表中"医疗卫生综合情况调查表"的基础资料和该表涉及的7项核心指标,运用RSR法、功效系数法和Z分评价法,对全省的基层医疗卫生综合情况进行分析。结果:通过九个设区市排名,县级市、市辖区和县级间的排名及不同经济发展水平县(市)的排名,发现区域医疗卫生综合情况与经济发展水平相关,且在机构、人力、公共卫生服务等方面存在差异。结论与建议:福建省主要存在基层医疗卫生机构区域发展不平衡、公共卫生服务发展不均等和基层医疗卫生人才队伍整体水平较低等问题。建议自主发展和财政投入相结合,促进基层医疗卫生机构区域平衡发展;专项经费保障和标准化体系建设相结合,促进公共卫生服务均等化发展;人事和经费保障制度相结合,加强卫生人才队伍建设。

Objective：To understand the comprehensive situation of primary health care in Fujian Province.Methods：To employ the basic information of General Condition of Health Care＇ Questionnaire which is an important tool of the mid-term new health care reform evaluation survey and to refer to the seven core indicators associated with the questionnaire,RSR method,the Efficacy Coefficient method and Z-score evaluation method are used to analysis the general condition of primary health care in Fujian.Results：Through establishments of the ranking of nine municipalities,the ranking among county-level cities,municipal districts and the counties,and the ranking of the different economic development levels＇ counties,the study shows that the regional health system profile is associated with the economic level,and varied cross providers,personnel and public health services.Conclusions and Recommendations：There are some problems in Fujian,such as imbalances regional development of primary health care institutions,unequal development of public health services and overall low level of primary care health personnel.We recommend that：1） local self-development should be combined with financial investment,promote regional primary health care institutions balanced coordinated;2） special funds should be combined with standardization system construction,promote the development of the equalization of public health services;3） reforming personnel system should be combined with sufficient financial support,strengthen the building of health personnel.