四川秦巴山区乡镇卫生院基本公共卫生服务现状调查分析

Survey on the basic public health services of township hospitals in Qinba Mountain Area of Sichuan Province

目的分析四川秦巴山区乡镇卫生院基本公共卫生服务现状,为进一步规范推进秦巴山区基本公共卫生服务项目提供依据。方法2017-11-05-2017-12-30通过分层抽样的方法抽取四川秦巴山区12个乡镇卫生院,查阅其基本公共卫生服务项目实施资料后进行统计分析。结果四川秦巴山区农村居民健康档案建档率为79.16%,不同地区建档率比较差异有统计学意义,χ^(2)=8822.589,P<0.001;慢性病规范管理率为34.57%,不同地区管理率比较差异有统计学意义,χ^(2)=6752.093,P<0.001;重性精神病患者规范管理率为94.20%,不同地区管理率比较差异有统计学意义,χ^(2)=13.696,P=0.003。≥65岁老年居民体检表完整率为62.72%,不同地区完整率比较差异有统计学意义,χ^(2)=373.599,P<0.001。孕产妇产前随访率为88.15%,开江县最低,χ^(2)=165.903,P<0.001;住院分娩率为74.69%,开江县最低,χ^(2)=589.093,P<0.001;产后访视率为91.58%,开江县最低,χ^(2)=130.840,P<0.001。每千人口专业卫生技术人员数为1.16人。专兼职公共卫生人员占专业卫生技术人员总数的23.08%。结论四川秦巴山区基本公共卫生服务项目人力资源匮乏,项目人群覆盖和服务质量有待提高,应加大乡镇卫生院公共卫生服务投入力度。

Objective This study aimed to analyze the status of basic public health services in township hospitals in Qinba Mountainous Area in Sichuan,and to provide a basis for further standardizing basic public health service projects in Qinba mountainous area.Methods From November 5 to December 30,2017,12 township hospitals in Qinba Mountain Area of Sichuan were selected by stratified sampling,and their basic public health service project implementation data was consulted for statistical analysis.Results The filing rate of health records of rural residents in the Qinba Mountain Area of Sichuan was 79.16%,and the difference in filing rate in different regions was statistically significant,χ^(2)=8822.589,P<0.001.The standardized management rate of chronic diseases was 34.57%,and the difference in management rates in different regions was statistically significant,χ^(2)=6752.093,P<0.001.The standardized management rate of patients with severe mental illness was 94.20%,and the difference in management rate in different regions was statistically significant,χ^(2)=13.696,P=0.003.The completeness rate of medical examination form among elderly residents aged≥65 years old was 62.72%.The difference of completeness rate in different regions was statistically significant,χ^(2)=373.599,P<0.001.The prenatal follow-up rate was 88.15%,Kaijiang County was the lowest,χ^(2)=165.903,P<0.001.The hospital delivery rate was 74.69%,Kaijiang County was the lowest,χ^(2)=589.093,P<0.001.Postpartum visit rate was91.58%,Kaijiang County was the lowest,χ^(2)=130.840,P<0.001.The number of professional health technical personnel per thousand population was 1.16.Full-time and part-time public health personnel accounted for 23.08%of the total number of professional health technical personnel.Conclusions The basic public health service project in Qinba Mountain Area of Sichuan Province is lack of human resources,and the population coverage and service quality of the project need to be improved.The public health service input of township hospitals should be increased.