社区卫生服务站慢性病防治能力及其运行机制的评价

Analysis on the Ability and the Function Mechanism of Chronic Disease Prevention ” Cure in Community Health Service Stations

目的对目前社区卫生服务站慢性病防治能力和运行机制进行评价 ,为完善社区卫生服务管理、政策和考核指标提供科学数据和建议。方法抽取北京市西城区、东城区、朝阳区 2 0 0 0年 6月前建立的 5 5个社区卫生服务站进行统一问卷调查。结果 5 5个服务站总收入中 ,纯收入 (流水收入按 2 5 %利润获利 )占总收入的比重最大 ,为 6 8.3% ;医院补贴占2 8.4%。总支出中房租支出所占比重最大 ,为 39.6 % ;其次是工资支出为 2 7.6 %。仅 31%社区卫生服务站的纯收入能独立支付工作人员的工资和房租两项基本支出。高血压、糖尿病、血脂异常三种疾病登记病人数占估计患病人数的15 .8% ,登记病人健康教育的平均覆盖率为 33.3%。结论目前多数社区卫生服务站经济缺乏独立运行能力 ,病人登记率、健康教育覆盖率低。

Objective To evaluate the chronic diseases prevention  cure ability and function mechanism at present in community health service station,and offer the scientific data and suggestion for improving the management,police and work assessment for community health service.Methods 55 stations that established before June in 2000 in Xicheng district,Dongcheng district and Chaoyang district in Beijing were questioned.Results In the total income,the ratio of net income,which was the profit of crude income equal to 25% of the bonus, was 68 3%;the compensatory income from the hospital was 28 4%.In the payout,the portion of house rent was up to 39 6% and the salary was 27 6%.Only 30 9% stations could pay for the salary and the house rent by their net profit.Only about 15 8% of the estimated patients with hypertension,diabetes and hyperlipaemia were supervised by the stations.Health education covered 33 3% of the registered patients.Conclusions The majority of stations were lack of economic running ability by themselves;the register rate of with patients chronic disease and the coverage rate of health education were low.