国家基本公共卫生服务项目乡村两级职责分工现状分析

Analysis on the Present Responsibility Division of Township and Village in National Essential Public Health Service Project

目的:分析国家基本公共卫生服务项目乡村两级职责分工情况,为提高农村公共卫生服务质量和效率提供借鉴。方法:利用SPSS 12.0统计分析软件中t检验等分析模块对样本地区乡村两级基层公共卫生服务机构2009—2011年的人力资源、职责分工及经费分配数据进行差异性分析,并对访谈资料进行定性分析。结果:乡村两级公共卫生服务负责人对其所在机构承担的职责比例的主观认识存在分歧,乡村两级职责分工比例并未达到标准化状态,与人力资源配置不合理、经费分配不平衡密切相关。结论:应从促进机构合理分工、有效交流,完善人力资源配置,建立健全经费保障机制等方面入手,改善乡村两级职责分工现状,从而提高农村公共卫生服务质量和效率。

Objective：To analyze the responsibility division of township and village in national essential public health service project, and propose references for improving the quality and efficiency of rural public health services. Methods： Analysis modules of SPSS12.0 statistical analysis software, such as T-test, were used to compare rural grass-roots public health service institutions on human resources, division of responsibilities and allocation of funding data from 2009 to 2011. Interviews were used for qualitative analysis. Results： In terms of the subjective understanding of responsibility proportions the institutions undertake, there exists differences between people in charge of public health services in township and village institutions. Due to the ureasonable assignment of human resources and imbalanced allocation of funding, the responsibility proportions of rural institutions have not been up to standard. Conclusion： It is suggested to improve the present situation of division of township and village responsibilities by promoting reasonable division of responsibilities, effective communication, assignment of human resources, establish and improve the mechanism to ensure funding, thereby to enhance the quality and efficiency of public health services in rural areas.