甘肃省社区卫生服务提供及财政状况调查研究.pdfVIP

。国初级卫生保健2011 1:1= 1 月第25 卷第 11明(总第 301 期) 甘肃省社区卫生服务提供及财政状况调查研究 张静①，格鹏飞①，张丑吉①，张清华①，董彩霞飞任晓岚①，范浩强①，张永瑞① 摘 要 目的 了解甘肃省社区卫生服务机构服务提供及财政状况基本现状，为发展甘肃省社区卫生服务提供决策依据。方法 采用统一问卷，调查分析甘肃省 98 所城市社区卫生服务中心和 264 所社区卫生服务站的服务提供情况及财政状况。结果 甘 肃省城市社区卫生服务机构医疗服务利用率较低，公共卫生服务不完善且质量较差。 40.01%的社区卫生服务中心和 26.07%的 社区卫生服务站财政支出大于收入，政府财政对社区卫生服务机构的投入不足。结论 建议转变服务模式，加强公共卫生服务 能力培训，加大政府投入，建立收支两条线的财务政策。 关键词 社区卫生服务;服务提供;财政状况;调查研究 [中圄分类号] R193 [文献标识码] A [文章编号] 1∞1-568X(2011)O I-(附40-03 Inv臼tigation on Serviω Offering and Financial Condition of Community Health Service Insti细tions in Gansu Provincel ZHANG Jing, GE Peng-fei, ZHANG Chou-ji, et a1. I/Chinωe Primary Health Care, 2011 , 25(1): 40-42 Abstract OBJECTlVE To rsearch the pre配nt development of 回rvice offering and financial of community health service (CHS) institutions in Gansu province, and provide evidence for further improving the city s CHS system. METHODS A questionnaire survey was conducted in 98 city s community health service centers and 264 community health service stations to invest service offering and financial condition of CHS. RESULTS ηlere are low utilization rate of medical services and incomplete public health service in Gansu CHS. Financial expenditure exceeds income in 40.01 % city s ωmmunity health service centers and 26.07% community health service stations, and govemment financial input is inadequate to CHS. CONCLUSJON CHS should change service pattem , govemment should increase finance input, public health 田ining shoule be strengthened，且nd the financial policies of income and expenditure separately should be established. Key words community health service; service offering; financial condition; investigation First-author s addr创s Gansu Center for Di田a田 Prevention and Control, Lanzhou , Gansu, 73∞20， China 大力发展城市社区卫生服务，构建以社区卫生服务为基 所有社区E生服务中