山东省社区卫生服务机构预防保健服务的综合评价研究

摘要

目的：对新医改以来山东省社区卫生服务中心预防保健服务情况进行多指标综合评价，为加强城市社区卫生服务建设提供政策依据。方法主要运用秩和比方法，并结合因素重要性推导模型进行研究。结果78%的社区卫生服务中心预防保健服务量被评为“中”，居民对预防保健服务的总体满意度为2.66分，社区卫生服务中心的预防保健工作仍有待加强。结论总体而言，社区卫生服务中心的预防保健服务开展情况并不乐观。A 地区和 C 地区的社区卫生服务中心预防保健服务相对较差，应优先受到政府卫生行政部门的重视，政府应针对不同地区社区卫生服务中心在预防保健工作中存在的问题，采取相应的策略予以解决，以促进社区卫生服务中心的预防保健工作的不断进步。%Objective To comprehensively evaluate prevention and health care services of community health centers in Shandong province since the ongoing health reform and provide policy basis for development of community health services.Methods To study with rank sum ratio method and important quadrant models.Results Seventy-eight percent of community health centers were appraised as“average”.Overall satisfaction of residents for preventive and health services was 2.66 points.Preventive and health services of community health centers are expected to improve.Conclusion Overall prevention and health services of CHS centers were found less than satisfactory.Prevention and health services of CHS centers in regions a and B were poor,which deserves attention of the government health authorities.The government is expected to take actions to promote development of CHS centers for prevention and health care service.