摘要
目的调查湖南省基本公共卫生服务项目工作现况,综合分析利弊,为以结果为导向,改革肺结核患者健康管理模式提供指导和参考。方法现场访问湖南省省级卫生健康、财政部门行政管理人员,市、县、乡、村级卫生健康行政部门、专业机构管理及业务人员。采用SWOT分析法,将访谈信息按内部优势(S)和劣势(W),外部机会(O)和威胁(T)分类,建立矩阵,综合分析评价。结果肺结核患者健康管理新模式改革的优势是基本公共卫生服务项目工作基础较好,有县区改革经验,人员乐于接受;劣势是经费保障、项目管理难度加大,可能影响绩效公平;机会是有国内外环境及财政等部门支持,符合政策导向,满足工作需要;威胁主要有现有政策的限制和影响,管理部门、专业机构的协作问题。结论应从行政推动、宏观调控、经费保障、政策整合突破、监督管理、宣传引导6大方面推动肺结核患者健康管理模式改革。
Objective To examine the implementation of separate expenditure health management on pulmonary tuberculosis(TB)patients covered by basic public health service in Hunan province and to provide references for the improvement of the new management model.Methods We conducted field group and individual interviews among 71 professional staff recruited from governmental departments,medical institutions,and healthcare clinics at various administrative levels across Hunan province during August 2018.The collected information were summarized with strength,weakness,opportunities and threats(SWOT)analysis.Results The interviewees reported following views for the new model of TB patients management:the model's strength is with a strong support of basic public health service and reform experience at county/district level and being easily operated by relevant staff;the model's weakness is the difficulty in fund supply and project management and the inequity possibly occurring in performance assessment;the opportunities for the model are social and financial support,in accordance with governmental policies and the project's requirements;the threats for the model are the limitation of current regulations and the difficulty in collaboration between administrative agencies and professional institutions.Conclusion The reform in health management of pulmonary tuberculosis patients could be promoted by administration improvement,macro-control,financial support,policy modulation,supervision on implementation,and propaganda guidance.
作者
明辉
唐益
谢颖
肖涛
王巧智
MING Hui;TANG Yi;XIE Ying(Department of Prevention and Control,Hunan Institute for Tuberculosis Prevention and Control,Changsha,Hunan Province 410013,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2019年第7期907-909,共3页
Chinese Journal of Public Health
基金
湖南省卫生健康委科研计划课题项目(B2019043)
关键词
基本公共卫生服务
结核病
政策研究
SWOT分析
basic public health service
tuberculosis
policy study
strength,weakness,opportunities and threats analysis
