县级多部门基本公共卫生服务项目合作现状调查

Study on Situation of Sectoral Cooperation in Basic Public Health Service Project at County Level

目的:了解县级基本公共卫生服务项目实施中多部门合作的现状、问题及其原因,探索有效促进多部门合作的对策建议。方法:定性定量研究相结合,通过文献查阅、问卷调查、关键人物访谈等方法,对相关部门合作现状及问题进行调查。结果:为了更好实施基本公共卫生服务项目,样本地区的卫生部门都曾与当地妇联、财政、教育局以及计生等部门开展过不同程度的合作,卫生部门合作意愿较强烈,其他部门相对缺乏合作意愿,实际合作效果差强人意,主要存在规章制度不规范、缺乏激励机制以及经费投入不足等问题。结论:为有效促进各部门间的合作,应当强化政府公共服务职能,激发多部门间的合作需求;加快区域卫生信息平台建设,建立健全信息共享机制;提高合作制度的规范性,推动多部门合作常态化;建立健全筹资与投入机制,严格规范资金的监督管理。

Objective： To analyze the main reasons and to explore effective countermeasures of promoting sectoral cooperation by investigating the present situation and problems of sectoralcooperation of basic public health service in 8 Chinese counties.Methods： A combination of qualitative and quantitative studies was applied.Reference reviews questionnaires,key individual interviews and focus group discussions（FGD）were taken to investigate the present situation and problems of sectoral cooperation.Results： Healthy sectorscooperative willingness were stronger than other sectors in sampling regions,for they did cooperation in different degree with localWomen＇s Federation,Finance,Education Bureau,Family Plan Fertility Committee and so on.The problem of dissatisfactory cooperative effect lies in nonstandard rules and regulations,lack of motivation system,inadequate funding and so on.Conclusions： In order to promote sectors cooperation,we should strengthen the government＇s public service function to stimulate cooperative demand among sectors,speed up the regional health information platform construction to establish and perfect the mechanism of sharing information,improve the standardization of cooperation system to normalize sectors cooperation,establish and perfect the mechanism of financing and investment to regulate supervision and management of fund.