摘要
目的以人群健康水平提升为效果评价导向,开展基于供需双方的基本公共卫生服务项目效果评价调查研究,为持续完善国家基本公共卫生服务项目提供借鉴和参考。方法于2022年8月采用多阶段分层抽样方法对江苏省苏南、苏中、苏北地区的1682名基层医务人员和800名重点服务人群进行问卷调查,了解基层医务人员的基本公共卫生服务提供情况,以及对基本公共卫生服务提高本地居民健康水平效果的评价,了解居民的基本公共卫生服务利用情况及对服务提高健康水平的满意度评价。结果共回收1408份基层医务人员有效问卷和791份重点服务人群有效问卷。在服务提供方面,基层医务人员提供率较高的项目有:居民健康档案管理(73.0%)、健康教育(70.0%)、老年人健康管理(69.2%)、高血压患者健康管理(66.9%)和2型糖尿病患者健康管理服务(62.2%),且不同岗位基层医务人员对各项服务的提供率比较,差异均有统计学意义(均P<0.05)。在0~10分评分标尺上,基层医务人员对各类基本公共卫生服务项目符合本地居民实际需求情况,以及提高本地居民健康水平情况的评价结果均>8分,其中评分排名前6位的项目(从前往后排序)均为:预防接种、高血压患者健康管理、老年人健康管理、2型糖尿病患者健康管理、0~6岁儿童健康管理和孕产妇健康管理;排名后6位的项目(从后往前排序)均为:中医药健康管理、卫生计生监督协管、严重精神障碍患者管理、肺结核患者健康管理、居民健康档案管理和健康教育。在重点人群服务利用方面,孕产妇对相应服务项目的利用率最高,为93.8%,慢性病患者及老年人的服务利用率相对较低,高血压患者、2型糖尿病患者、老年人的服务总体利用率分别为84.8%、77.1%和70.7%。91.7%的重点人群对相应服务提高健康水平的效果感到满意,其中老年人和2型糖尿病患者满意率�
Objective To evaluate the provision and utilization of national basic public health services(BPHS)in Jiangsu province and to provide references for improving national basic public health service programs.Methods Using stratified multistage sampling and a self-designed questionnaire,we conducted an online survey in August 2022 among 1682 employees of grassroots medical institutions(hospitals/community health centers/village clinics)and 800 residents of five groups who were key persons in need of specific health services covered by the national BPHS in three cities and three counties with different economic development in three geographical regions of Jiangsu province.Information on the provision and utilization of BPHS,and the impact of BPHS on meeting the health needs and improving the health status of the local population were collected and analyzed.Results Valid responses were obtained from 1408 recruited medical staff and 791 recruited residents.The most common BPHS activity for medical staff was managing resident health records(reported by 73.0%of staff),followed by health education(70.0%),managing the health of the elderly(69.2%),managing patients with hypertension(66.9%),and managing patients with type 2 diabetes(62.2%).There were significant differences in BPHS activities among primary healthcare workers in different work positions(all P<0.05).The medical staff scored all 12 BPHS items higher than 8 on a scale with a maximum score of 10 in meeting the health needs and promoting the health status of the local population.The six items with higher scores(in descending order)were preventive immunizations,health management for hypertensive patients/elderly people/patients with type 2 diabetes/children aged 0-6 years,and maternal health management;whereas the six items with lower scores(in ascending order)were health management based on traditional Chinese medicine,co-management of health and family planning regulations,management of patients with severe mental disorders,health management of tuberculosis patient
作者
练璐
曹冬丽
李思清
詹祥
王萱萱
LIAN Lu;CAO Dongli;LI Siqing;ZHAN Xiang;WANG Xuanxuan(Jiangsu Province People’s Hospital,The First Affiliated Hospital of Nanjing Medical University,Jiangsu Provincial Maternal and Child Health Hospital,Nanjing 210029,China;The First Affiliated Hospital of Soochow University,Suzhou 215006,China;School of Continuing Education,Nanjing Medical University,Nanjing 211166,China;School of Health Policy and Management,Nanjing Medical University,Nanjing,211166,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2024年第5期550-555,共6页
Chinese Journal of Public Health
基金
国家自然科学基金(72204121)
江苏省卫生健康委员会指导性项目(Z2020025)
江苏省基本公共卫生服务技术指导中心应用研究项目(JC701)。
关键词
公共卫生
国家基本公共卫生服务项目
实施效果
效果评价
public health
national basic public health service program
implementation effect
effectiveness evaluation
