北京市村卫生室公共卫生服务现状及保障分析——以H区与M县实地调研数据为例

Analysis on the status and guarantee of public health service in village health rooms in Beijing—— Take the field survey data of H district and M county as an example

在北京市郊H区和M县的12个乡镇采用随机抽样的方法,对200名乡村医生进行问卷调查,了解乡村医生配置现状及公共卫生服务开展情况。结果显示:M县平均每千人拥有乡村医生1. 68人,H区每千人拥有乡村医生1. 92人;能提供公共服务的前五位依次是健康教育、高血压患者管理、村民健康档案管理、2型糖尿病健康管理、传染病及公共卫生突发事件的报告和处理; 86. 5%的乡村医生认可"公建民营、政府补贴"的模式。结果表明,京郊两区县的农村医生配置满足基本要求,乡村医生认可"公建民营,政府补贴"的政策,村委会对村卫生室有一定管理和支持,农村卫生服务可持续发展有好的政策环境。

The random selecting method is used to H district and M counties in 12 townships in suburbs of Beijing,and conduct questionnaire to 200 village doctors so as to know the situation od village doctors allocation and public health service.The result shows that there are 1.68 villages doctors per thousand people in M county,and 1.92 are in H district.The front five of supplying public health service are health education,hypertensive management,villagers health file management,type 2 diabetes management,report and dispose of infectious disease and public health emergency.86.5%village doctors accept the model of“government construction and private running,government subsidies”.The result indicates that village doctor allocation is satisfy with basic requirements in the district and county.Village doctors accept the policy of“government construction and private running,government subsidies”.Village committee has a certain management and support to village health rooms.Village health service sustainable development has good policy environment.