摘要
目的通过分析贵州省新型农村合作医疗制度对乡镇卫生院产生的影响,提出有针对性的措施,促进乡镇卫生院和新农合的健康可持续发展。方法采用分层整群抽样的方法,对7县(市)88个乡镇卫生院进行自填式问卷调查,数据库建立和资料的统计分析采用SPSS14.0软件进行。结果7县(市)人群参合率83.94%,资金平均使用率69.15%。乡镇卫生院房屋、设备、床位数等投入显著增加;服务工作量尤其门诊人次数、住院人次数、手术人次数明显增长;经济收入增加;药品收入占总收入的比例略有下降,但仍然超过60%以上。结论贵州省新农合的实施在一定程度上提高了乡镇卫生院的服务能力,促进了乡镇卫生院发展。乡镇卫生院要抓住机遇,通过转变观念、加强人员培训等进一步提升服务能力。
Objective To analysis the influence on the township health center by implement the new rural cooperation medical system to provide directed countermeasures to promote the health and sustainable development of the township health center and new rural cooperation medical system. Methods 7 cities and 88 township health centers were surveyed by self-resigned questionnaire. The data was established and analysed by SPSS 14.0. Results The rate of peasant participate the new rural cooperation medical system was 83.94‰. 69.15% of the security finances was compensated to the peasants. The buildings, equipment and hospital beds of township health centers were increased obviously. The health service quantity and income were both increased. The drug income occupy more 60% of the total income. Conclusions The health service capability of the township health centers were improved by the new rural cooperation medical system. The township health center should seize the opportunity to promote self-development by transform service idea ,cultivate health personnel and so on.
出处
《遵义医学院学报》
2009年第2期187-190,共4页
Journal of Zunyi Medical University
基金
2006贵州省省长基金项目(C-312)
关键词
新型农村合作医疗制度
乡镇卫生院
the new rurat cooperation medical system
the township health center
