我国中西部县（区）乡镇卫生院医技服务现状调查

摘要

目的：评价我国中西部县（区）乡镇卫生院医疗技术服务开展现状，为提高乡镇卫生院服务能力提出建议。方法：对麻城市和黔江区46家乡镇卫生院44种医技服务开展调查，分析各项服务开展的情况及未开展的原因。结果：开展服务等级成熟21项（47.72%）、较好10项（22.73%）、一般4项（9.1%）、较差9项（20.45%）；能力较高的乡镇卫生院可以开展42项服务，较差者仅能开展12项；其中，开展率最高为常规物理检查（95.11%），最低为家庭医疗服务（21.01%）；人员的数量、能力与设备配置构成限制乡镇卫生院服务开展的主要因素。结论：乡镇卫生院医技服务开展情况并不理想，且不同机构间存在差异，应进一步加强硬件设备及人才队伍标准化建设，提高服务能力，明确功能定位。%Objective:To evaluate the present situation of medico-technical services in township healthcare centers in middle and western counties of China in order to offer proposals for promoting service ability of township healthcare centers.Methods:Forty-four medico-technical services from 46 township healthcare centers in Macheng City and Qianjiang District were investigated;the situation of medico-technical services and the reasons why some services weren’t performed were analyzed.Results:Services were divided into four grades,among which 21 services were excellent (47.72%),10 were good(22.73%),four were normal(9.1%),nine were bad(20.45%). The township healthcare centers with higher level could perform 42 services,while the lower only perform 12 services;routine physical examination among these services had the highest performing rate(95.11%),while the family medical services had the lowest rate(21.01%). The quality and quantity of medical staff and device configuration were the main factors impeded medical services delivery. Conclusion:The situation of medico-technical services in township healthcare centers is not ideal and the big difference exists between them. It is suggested to strengthen the standardized construction of medical staff and device configuration, improve service capabilities,clear and definite the functional orientation.