中国西部5省40个贫困县村卫生室综合评价

A synthetic evaluation on the village clinics of 40 poverty counties of 5 provinces in western China

本文采用线性加权平均和法对中国西部5省40个贫困县村卫生室的科室设置、医疗配置、人员素质、管理制度、卫生服务的现状进行了综合评价,结果显示5省村卫生室的总体综合评分比较接近,达标率均偏低,难以满足基本卫生服务的需要。就五个评价项目来看5省虽存在差别,但都与村卫生室的基本要求有一定差距,存在亟待解决的问题。只有逐步完善村卫生室基本医疗配置,对村医进行定期培训,强化卫生制度管理,健全报偿机制,才能切实提高卫生服务水平,保证农村基本医疗预防保健服务的需要,为贫困地区群众脱贫致富提供保障。

By using Sum of Linear Weighted Average, we synthetically evaluated and analyzed the setting,configuration,personnel,management and service of village clinics of 40 poverty-stricken counties,5 western provinces in China.The result show that,as a whole, the synthetic scores of village clinics in 5 provinces are fairly close and the rates of reaching the standards are low. It is difficult to fulfill the demands of basic health service. Although there are significant differences among 5 provinces in the five evaluated items, they all are far from the basic level and problems urgently to be solved. Only by strengthening the investment to hardware and paying great attention to software,can people s basic demands be met to the full extend,which ensure the poor people get rid off poverty and live well.