摘要
目的了解北京市农村基层卫生人员健康管理的现状，为该地区健康管理服务质量提高提供参考。方法2012年，采用多阶段随机抽样方法选取北京市大兴、房山、密云、平谷郊区县部分乡镇医疗机构，以该机构所属的卫生人员为调查对象，了解其为农民开展健康管理情况，并对不同地区间的服务现状进行描述和比较。描述采用频数和率等统计学指标，地区间比较采用X。检验。结果调查对象参与健康体检工作的比例为66．3％（321／484），参与精神病患者随访工作仅为19．1％（92／481）；健康管理重点管理人群集中在慢病患者和老年人，提供比例分别为44．7％（214／479）和38．0％（182／479）；对农村居民提供健康体检、健康教育及慢病随访管理的地点主要在乡镇卫生院，参与比例分别为62．1％（298／480）、52．4％（251／479）和42．8％（206／481）；在提供健康管理过程中与全科医师合作比例最高，为66．1％（292／442），而与行政人员合作比例最低，仅为10．6％（47／443）；在提供健康管理过程中，与社区管理机构的合作关系最为密切，为41．4％（201／463），而其与宣传部门合作的比例仅为10．6％（49／464）。上述活动地区分布间差异有统计学意义，包括开展健康体检、常见慢性病随访管理等活动，健康管理活动覆盖青少年、老年人、儿童以及慢性病患者情况，在乡镇卫生院和村卫生室开展健康体检、健康教育和慢性病随访情况，健康管理活动与全科医师等人员合作情况。结论北京市农村健康管理服务开展情况距离国家公共卫生均等化服务要求尚有差距，且存在地区差别。建议加大政府财政支持力度，加强健康管理人员培训，增加乡镇卫生院中全科医生配置比例，建立绩效考核机制，提升农村基层卫生人员工作积极性，提高健康管理服务
Objective To learn current status of health management provided by primary health professionals working in rural areas of Beijing. Methods Health professionals in township hospitals in Beijing were selected by multi-phase random sample method in 2012 and surveyed by a standardized questionnaire to gathering the data on various health management contents, including health checkup, chronic disease management et al ,the action location,its collaborative persons and sectors. Statistics description and inference were conducted to describe and compare the distribution of health management implementatiotl across rural areas by descriptive methods and test, respectively. Results Nearly 66. 3% （ 321/484 ） of subjects provided health check-up,and 19. 1% （92/481）involved in follow-up study of mental diseases. The main targets population of health raanagement were chronic diseases and the elderly, with response rate of 44. 7% （214/479）and 38.0% （182/479）, respectively. Health check-up, health education and follow-up of chronic diseases were performed in 62. 1% （298/480） ,52.4% （251/479） and 42. 8% （206/481） of the township health centers. About 66. 1% （292/442） township health centers had cooperation with general practitioners; however, cooperation with administrative personnels was only 10. 6% （47/443）. More than 41.4% （201/463） township health centers cooperated with community administrative sectors, and cooperation with the propaganda department was only 10. 6% （49/464）. The statistical difference across regions shows in the following,including health management action （ health checkup, chronic disease patients following-up, et al ）, the target population covered （youth, elder person, children, and chronic disease patients） ,health management location（ health checkup, education and chronic disease patients following-up in township hospital and village clinic）, cooperation with General Practitioner. Conclusions Our results suggest that the actual situation on health m
出处
《中华健康管理学杂志》
CAS
2012年第6期380-384,共5页
Chinese Journal of Health Management
基金
首都医科大学校社科基金重点项目（109113）
北京市新农村建设基地课题（BJXNCJD2011-01-14）
关键词
农村卫生
卫生人员
健康调查
Rural health
Health personnel
Health surveys
