School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China.
National Institute of Hospital Administration, Ministry of Health of the People's Republic of China, Beijing 100083, China.
Public Health. 2011 Jan;125(1):37-45. doi: 10.1016/j.puhe.2010.09.003. Epub 2010 Dec 8.
To understand the advancements in and barriers to the implementation of measures to improve basic public health services in an urban Chinese community.
A qualitative study based on semi-structured interviews. Interviews were audio-taped, transcribed and analysed using thematic content analysis.
In-depth interviews were undertaken with the directors of the management centres for community health services in 15 of the 18 districts in Beijing from December 2008 to February 2009. Content analysis of the data was completed in May 2009.
Fifteen types of free basic public health services had been delivered in Beijing. Some were supplied at a low level. An average of £2.38 per person per year was provided for inhabitants since 2008, but demand for funding far exceeded monies available. Teams consisting of general practitioners, community nurses and public health specialists delivered these services. The number of practitioners and their low levels of skill were insufficient to provide adequate services for community residents. Respondents gave recommendations of how to resolve the above problems.
In order to improve the delivery of basic public health services, it is necessary for Beijing Municipal Government to supply clear and detailed protocols, increase funding and increase the number of skilled practitioners in the community health services.
了解中国城市社区基本公共卫生服务改进措施的进展和障碍。
基于半结构化访谈的定性研究。访谈进行了录音、转录，并使用主题内容分析进行分析。
2008 年 12 月至 2009 年 2 月，对北京 18 个区中的 15 个区的社区卫生服务管理中心主任进行了深入访谈。2009 年 5 月完成了对数据的内容分析。
北京提供了 15 种免费的基本公共卫生服务。有些服务水平较低。自 2008 年以来，为居民提供的人均资金平均为 2.38 英镑，但对资金的需求远远超过了可用资金。由全科医生、社区护士和公共卫生专家组成的团队提供这些服务。执业人员数量和他们较低的技能水平不足以向社区居民提供足够的服务。受访者提出了如何解决上述问题的建议。
为了改善基本公共卫生服务的提供，北京市政府有必要提供明确和详细的方案，增加资金并增加社区卫生服务中的熟练执业人员数量。
