县级妇幼保健和计划生育技术服务机构整合前后资源配置和服务运营情况分析

Analysis of resource allocation and service operation before and after the integration of maternal and child health care and family planning technical service institutions at county level

目的通过对比分析2014-2015年县级妇幼保健和计划生育技术服务机构整合前后不同隶属关系下资源配置和服务运营情况,为各级卫生计生行政部门制定科学发展对策提供参考依据。方法采用中国疾病预防控制中心妇幼保健中心设计的全国统一的"妇幼保健机构资源与运营情况调查表",结合实地考察的方法,对贵州省88家县级妇幼保健和计划生育技术服务机构进行全面调查。结果 2015年贵州全省88个县级妇幼保健机构全部(2014年为59家)隶属于同级卫生计生行政部门;在2014年基础上,县级卫生技术人员增加1225人,增长率35.23%;固定资产为61 222.37万元,增加19.5%;县级均以10万元以下设备为主;年门(急)诊总人次数为1 847 450万人次,增加7.8%;县级上级补助收入为4887万元,增加了3倍;科研经费为124.2万元,为2014年近10倍。结论通过优化整合妇幼保健和计划生育技术服务资源,县级妇幼保健机构职工总数、编制数、卫生技术人员、固定资产、设备、总收入、年门(急)诊量、科研经费等呈逐年增加趋势,院内提供妇女和儿童保健服务、住院医疗服务及辖区群体保健服务能力、科研水平得到进一步提高,妇幼保健机构得到全面发展。

Objective To compare the condition of resources allocation and service operations before and after the integration of county maternal and child health care and family planning in 2014 - 2015, and in order to provide reference for health administrative departments. Methods Questionnaire survey and field visit were used in this study, and the questionnaire was designed by Maternal and Child Health Care Center of Center for Disease Control and Prevention of China. All the 88 maternal and child health care institutions and family planning technical service institutions in Guizhou Province were enrolled in the survey. Results In 2015, the 88 maternal and child health care （MCH） institutions in county-level （59 institutions in 2014 ） were belonging to the same level of health and family planning administrative departments. Compared with 2014, health and technical workers increased by 1225 at county level, and the increase rate was 35.23% ; the value of fixed assets was 612. 2237 million RMB, and the increase rate was 19.5% ; most of the equipments were below 0.1 million RMB; the number of outpatient and emergency patients was 18. 4745 billion, and the increase rate was 7.8% ; the subsidy income from superior was 48.87 million RMB which increased 3 times; and research funding was 1. 242 million RMB, which was nearly 10 times than 2014. Conclusion After the resources integration of county maternal and child health care and family planning, the total number of staff and workers, the number of health workers, the fixed assets, the equipment, the total income, the number of outpatient and emergency departments, and the scientific research funds in the county level of MCH institutions increased; and the level of women and children service in hospital, inpatient service, community health service and research were also enhanced, maternal and child health institutions have being fully developing.