西藏乡镇卫生院基本公共卫生服务现状调查

Current Status of Essential Public Health Service in Township Health Centers of Tibet

目的了解西藏乡镇卫生院基本公共卫生服务现状,为加强西藏乡镇卫生院基本公共卫生服务功能建设提供参考建议。方法采用抽样方法,对87所92名乡镇卫生院人员进行问卷调查。结果调查西藏乡镇卫生院92名人员61.85%来自农区,75.15%在临床科室工作。抽样调查87所乡镇卫生院中有98.91%的乡镇卫生院开展计划免疫接种,95.51%开展结核病防治健康教育,93.02%开展居民健康档案的建立与应用,92.68%开展传染病疫情报告与监测;38.10%开展(重症)精神病患者的访视与管理,51.76%开展糖尿病筛查与糖尿病患者管理。结论西藏乡镇卫生院公共卫生服务项目开展程度不一,整体有待提高。

Objective To investigate the present situation of essential public health service in township health centers and to provide references for strengthening the construction of service functions.Methods With sampling questionnaire survey method,92 medical personnel from 87 township health centers completed the questionnaires.Results Of the 92 respondents,61.85%were from agricultural area and 75.15% worked in clinical departments.There were 98.91%of the township health centers carried out the planned immunization;95.51%implemented TB health education;93.02%established and applied the resident health files;92.68%implemented epidemic reporting and monitoring of infectious diseases;38.10%carried out the supervision and management of mental patients(severe)and 51.76%carried out diabetes screening and diabetes management.Conclusion The public health work in township health centers in Tibet are carried out unevenly and the overall level need to be elevated.