中国全科医学2013，Vol.16Issue(1)：10-13,4.DOI:10.3969/j.issn.1007-9572.2013.01.004
医务人员视角下的东中西部城市社区卫生综合改革评价
Comparative Analysis of Community Health Comprehensive Reform of East,Middle and West China in Perspective of Medical Staff
摘要
Abstract
Objective To learn, from the viewpoint of medical staff, the changes of operation and satisfaction of community health services ( CHS ) as well as the recommendations for next step in different parts of China so as to facilitate CHS reform. Methods According to geographical location and economic development level, 12 CHS organizations from each of 8 cities were randomly chosen. A self reported questionnaire survey was conducted among the medical staffs. EpiData 3. 0 was used for double entry and validation, and SPSS 17. 0 software was taken for statistical analysis. Results In terms of higher active working, lower applying ratio of anti - biotics, better social image and higher level of trust by residents, more medical staffs in the middle and west parts gave positive answers than those in the east part. In terms of primary effectiveness of the reform, performance evaluation, income and health insurance policies, the satisfaction levels of medical staffs in the middle and west parts were higher than those in the eastern part. As for recommendations for next step, medical staff in the east part focused on performance - based income; those in the east and middle parts emphasized increasing the categories of essential drugs; and those in the middle and west parts concerned more on basic facility construction and more training opportunity. Conclusion In community health comprehensive reform the changes are better in the west and middle parts than in the east part. The basic facility construction should be further enhanced and more training opportunity needs to be given in the middle and west parts. The performance - based income reform needs to be emphasized in east part. Besides, it is necessary to improve the essential drug system and increase the categories of essential drugs.关键词
社区卫生服务/综合改革/医务人员/比较研究Key words
Community health services/ Comprehensive reform/ Health workers/ Comparative study分类
医药卫生引用本文复制引用
张艳春,秦江梅,张丽芳,吴宁,刘利群,周巍,王丽坤..医务人员视角下的东中西部城市社区卫生综合改革评价[J].中国全科医学,2013,16(1):10-13,4.基金项目
中澳卫生与艾滋病基金项目(HSS409) （HSS409）
