Yu Li-Jun, Zhao Wen-Hai, Fan Zhi-Fei, Bai Yue-Hui
Southeast Asian J Trop Med Public Health. 2015 Nov;46(6):1077-84.
We aimed to describe the human resources and apparatuses of community health service (CHS) in Tongliao City of China and investigate the differences between CHS centers and stations. Field investigations and questionnaire-based surveys were conducted in 120 CHS organizations of Tongliao City, which were selected by a stratified multistage random cluster sampling method. Data were collected on the human resources, medical apparatuses, and satisfaction of covered residents. We found that the total number, educational background, and professional titles of staff were lower at stations than at centers. Although the categories of providing health services were comparable between centers and stations, stations provided fewer health services than centers did. In addition, stations owned fewer apparatuses compared with centers. The percentages of satisfaction on many items were lower among residents covered by stations than among those covered by centers. Desired health services provided by CHS organizations have been partially accomplished in Tongliao City. Attracting more highly educated professionals and purchasing more valuable apparatuses may be helpful to improve the unbalanced distribution in human resources and apparatuses between centers and stations. Appropriate modifications of corresponding policies should be taken into consideration by the local government in the future.
我们旨在描述中国通辽市社区卫生服务（CHS）的人力资源和设备情况，并调查社区卫生服务中心与社区卫生服务站之间的差异。采用分层多阶段随机整群抽样方法，对通辽市120个社区卫生服务机构进行了现场调查和问卷调查。收集了人力资源、医疗设备以及覆盖居民满意度的数据。我们发现，社区卫生服务站的工作人员总数、学历和职称均低于社区卫生服务中心。虽然社区卫生服务中心和社区卫生服务站提供的卫生服务类别相当，但社区卫生服务站提供的卫生服务比社区卫生服务中心少。此外，社区卫生服务站拥有的设备比社区卫生服务中心少。社区卫生服务站覆盖居民对许多项目的满意度百分比低于社区卫生服务中心覆盖居民。通辽市社区卫生服务机构期望提供的卫生服务已部分实现。吸引更多高学历专业人员并购置更有价值的设备可能有助于改善社区卫生服务中心与社区卫生服务站之间人力资源和设备的不均衡分布。当地政府未来应考虑对相应政策进行适当调整。
