北京市H区村卫生室服务能力现状调查——以医方为视角

Survey on the Village Clinics' Service Capacity in H District of Beijing-in View of Doctors

目的了解北京市H区村卫生室的服务能力现状,找出存在的问题与不足,为村级卫生政策的制定提供依据。方法采用普查的方法对北京市H区所有村卫生室进行调查,样本量为260名乡村医生;采用目的抽样的方法在北京市H区选取3个乡镇,在每个乡镇选取6个行政村作为研究现场进行实地观察和个人深入访谈,样本量为18名乡村医生。结果当前北京市H区村卫生室存在人员素质偏低、业务用房及基础设施不足、村卫生室服务能力较弱的问题。结论为提高北京市H区村卫生室服务能力,建议建立人才进出机制,提升乡村医生整体素质;系统化管理,提高村卫生室资源配置水平。

Objective：To understand the current service capacity of village clinics in H District of Beijing, to find out the existing problems and deficiencies, and to provide the basis for the development of village health poli-cy. Methods：The census method was used to investigate all the village clinics in H District of Beijing, and 260 rural doctors were investigated. Purposive sampling method was used to select 3 townships in H District of Beijing and 6 villages in each township as the research field. Observation and in-depth interviews were used in this study, and the sample size was 18 rural doctors. Results： At present, the village clinic in H district of Beijing has the problems of low quality of personnel, lack of business premises, inadequate infrastructure, and poor service capaci-ty. Conclusion：In order to improve the service capacity of village clinic in H District of Beijing City, it is sugges-ted to establish human resources management system, improve the overall quality of rural doctors, manage systemat-ically and improve the level of resource allocation in village clinics.