浙江省2009～2013年卫生适宜技术推广应用现状调查

Promotion of Appropriate Health Technologies in Zhejiang Province during 2009-2013: A Status Survey

目的调查浙江省2009~2013年卫生适宜技术推广现状,为适宜技术的进一步研究和推广提供基线数据。方法根据浙江省卫生适宜技术推广网,浙江省中医药卫生适宜技术推广应用网和卫生适宜技术库相关数据,定量描述并比较各地区卫生适宜技术的推广情况。结果①浙江省建立108个西医类和19个中医药示范基地,由127个牵头单位与513个联合体单位构成,覆盖全省11市,40个县、206个乡镇。②慢性病和急救类示范基地分别占33.0%和25.3%,中医药、康复护理、公共卫生和皮肤眼耳鼻咽喉类较少。②浙江省推广适宜技术498项,急救类、慢性病类、妇女儿童类、康复护理类、公共卫生类、眼耳鼻喉皮肤病类、中医药类和计生类适宜技术分别占26.5%、18.9%、17.9%、11.0%、10.6%、7.6%、4.6%、和1.4%。④卫生适宜技术在各地推广数量不均,主要集中在杭州、嘉兴、宁波、绍兴等经济相对发达、卫生资源配置相对较高的地区。结论①浙江省卫生厅以＂1＋X＂模式推广卫生适宜技术,卫生适宜技术示范基地覆盖全省11个市,构建了完整的适宜技术推广应用体系,并取得了较好的效果。②九类基地以慢性病和急救为主,推广技术以急救、慢性病和妇女儿童适宜技术为主,中医技术推广不如西医。②各地技术推广类型不一。④需构建基于当地疾病负担的卫生适宜技术循证评价与遴选机制。

Objective To investigate the current status of the promotion of appropriate health technologies in Zhejiang province from 2009 to 2013, in order to provide baseline data for appropriate health technologies, application and research. Methods The status of promotion of appropriate health technologies in different regions of Zheiiang province were quantitatively described and compared according to the information in the websites of The Application and Promotion of Appropriate Techniques of Health, The Application and Promotion of Appropriate Techniques of Traditional Chinese Medicine as well as the Bank of Appropriate Technologies. Results a） A total of 127 Model Bases of Appropri- ate Health Technologies were set up, which were combined 127 leading institutions and 513 joint units, covering 11 cities, 40 counties, and 206 townships, b） The type of first aid base and chronic diseases base accounted for 33.0% and 25.3% of total types of model bases respectively; however, the number of bases dealing with rehabilitation care, public health and diseases referred to Ophthalmology ＆ Otolaryngology and skin disease were very small, c） There were 486 appropri- ate health technologies promoted in Zhejiang province; appropriate technology about first aid, chronic diseases, women and children, rehabilitation care, public health, Ophthalmology ＆ Otolaryngology and skin disease, traditional Chinese medicine and family planning accounted for 26.5%, 18.9%, 17.9%, 11.0%, 10.6%, 7.6%, 4.6% and 1.4%, respectively of total types of appropriate health technologies, d） The numbers of appropriate health technologies promoted in different regions were varied. Most of appropriate health technologies were promoted in more developed regions or more regions rich in health resources. Conclusion a） The model of＂l＋X＂ is used to promote the application of appropriate health technolo- gies in Zhe）iang province, and the prefecture-level regions of Zhe）iang province have established the Model Bases of Ap- propriate Health Technologies in 11 cities. The promotion system of appropriate health technology is constructed and it achieves good results, b） In nine model bases, the most types of promotion bases are chronic diseases and first aid, and thetechnologies about first aid, chronic diseases, women and children are most promoted, c） The types of appropriate health technologies promoted in different areas are varied, d） It is necessary to evaluate and select appropriate health technology bases according to the burden of local disease and evidence.