县、乡两级妇幼卫生与计划生育服务体系整合研究--以湖北省崇阳县为例

摘要

Objective:Taking Chongyang county of Hubei Province as an example, the paper describes the in-tegration of the maternal and child health ( MCH) and family planning ( FP) service system and analyses the key ele-ments to provide reference for promoting integration. Methods: qualitative interviews and quantitative questionnaire were used to collect data. The software QSR Nvivo 8. 0 and SPSS 17. 0 were used for qualitative and quantitative data analysis. Results:Based on the correct understanding of integration, Chongyang implements the supporting policies actively, maintains the original compensation mode unchanged, follows the principle of“no reducing headcounts and no downsizing” strictly, promotes the merger of institutions rapidly, adjusts the service contents and methods reasona-bly, and integrates the maternal and child and family planning information platform. Conclusion:The correct concept of integration, appropriate staffing, and stable funding in Chongyang provide rich experiences for future research. However, there is room for improvement in staffing, incentive mechanisms, service content, and forms.%目的：：以湖北省崇阳县为例，描述妇幼卫生与计划生育服务体系整合的方式，分析关键要素，为推进整合提供借鉴和参考。方法：运用定性访谈、问卷调查等方法收集资料；采用QSR Nvivo 8．0软件及SPSS 17．0软件进行定性和定量资料的分析。结果：崇阳县充分认识到整合的重要性，积极落实配套政策，保持原有补偿方式不变、不减编不减员，迅速推进了机构合并，合理调整服务内容和方式，并整合了妇幼与计生信息平台。结论：对整合的正确认识、稳妥的人事制度及稳定的经费支持有力地推动了整合工作的落实，但未来在人员编制管理、激励机制、服务内容及形式等方面仍需进一步的探索和创新。