安徽省55家公立医院公共卫生服务现状研究

Study on the current situation of public health services of 55 public hospitals in Anhui province

目的分析安徽省二级及以上公立医院公共卫生管理与公共卫生服务现状, 为政府制定相关政策提供参考。方法采用分层整群随机抽样法方法, 选取安徽省55家二级及以上公立医院进行线上问卷调查, 问卷内容包括医院公共卫生管理科室设置、运营情况和公共卫生服务情况。所有数据进行描述性分析, 组间比较采用χ2检验。结果 55家医院中, 1家三级医院单独设置公共卫生科, 其他医院公共卫生管理工作分散在医院感染部、医务部、预防保健部等科室;32家医院将公共卫生服务情况纳入院内绩效考核范围。在医院提供的公共卫生服务中, 传染病诊疗管理情况最好, 55家医院均建立了相关管理制度、流程、业务培训以及传染病上报等信息化系统;精神卫生服务情况最差, 仅36家医院建立了相关管理制度。结论安徽省公立医院公共卫生管理与服务水平有待进一步提高。政府部门应加强顶层设计, 从制度层面统筹公立医院公共卫生科室设置和绩效考核机制;公立医院应立足实际, 不断优化公共卫生服务内容, 补齐短板, 切实提高公共卫生服务水平。

Objective To analyze the current situation of public health management and public health services in public hospitals at the second level and above in Anhui Province,for references for the government to formulate relevant policies.Methods A stratified whole-group random sampling method was used to investigate the current status of public health services provided by 55 public hospitals at the second level and above in Anhui Province.The contents of the questionnaire included the establishment of public health management departments,operation and public health services.Descriptive analysis was conducted for all data,and chi-square test was used for comparison between groups.Results Of the 55 hospitals,only one tertiary hospital had a separate public health department,while the public health management works of the other hospitals were scattered among the hospital infection department,medical affairs department,preventive health department and so on.32 hospitals putted the public health services into their performance appraisal.Among the public health services provided by hospitals,the management of infectious disease diagnosis and treatment presented the best performance,as 55 hospitals had established relevant management systems,processes,business training,infectious disease reporting and other information systems.Mental health service presented the poorest performance,as only 36 hospitals had established relevant management systems.Conclusions The public health management and service level of public hospitals in Anhui Province needed to be further improved.The government authorities should strengthen their top-level design and coordinate the public health department setup and performance evaluation mechanism of public hospitals from the institutional level.On the other hand,the public hospitals should constantly optimize their content of public health services,complement the weaknesses,and effectively improve the level of public health services based on respective conditions of the hospitals.