| 引用本文：郑建, 管仲军.北京市农村社区卫生服务中心基本公共卫生服务人力和成本现状调查[J].中国卫生政策研究,2014,7(9):19-25 |
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| 北京市农村社区卫生服务中心基本公共卫生服务人力和成本现状调查 |
| 投稿时间：2014-05-21 修订日期：2014-06-04 PDF全文浏览 HTML全文浏览 |
| 郑建1, 管仲军2 |
1. 北京大学人民医院 北京 100044;
2. 首都医科大学卫生管理与教育学院 北京 100069 |
| 摘要:目的：了解北京市农村地区社区卫生服务中心的基本公共卫生服务人力资源和服务成本情况，为推进基本公共卫生服务均等化提供政策依据。方法：自行设计调查问卷和调查表，选择北京市昌平区、通州区、怀柔区和密云县作为调查地区。根据经济发展水平高、中、低，以整群抽样法抽取12个社区卫生服务中心、108位基本公共卫生服务人员进行调查。结果：在基本公共卫生服务人员中，年轻女性、防保人员和低职称人员占的比例较大；农村地区为预防接种和健康教育等项目分配的人员较多，为妇女保健和生殖健康等项目分配的人员较少；设置健康教育专栏、现场疫点处理等项目的单位成本较高；近郊地区为每个项目分配的工作人员数大多高于远郊地区，而每个项目的单位成本则大多低于远郊地区。结论：北京市农村地区基本公共卫生服务队伍的人力资源建设有待加强；各项基本公共卫生服务所需的成本差异较大，应结合实际需求情况和资源现状进行政策和财政上的调整。 |
| 关键词:农村 基本公共卫生服务 人力资源 成本 |
| 基金项目:北京市委组织部优秀人才课题（2010D005018000001） |
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| Survey on human resources and the cost of essential public health services based on community health service centers in Beijing's rural areas |
| ZHENG Jian1, GUAN Zhong-jun2 |
1. Peking University people's Hospital, Beijing 100044, China;
2. School of Health Management and Education, Capital Medical University, Beijing 100069, China |
| Abstract:Objectives: To understand the human resources and costs of essential public health services based on community health service centers in Beijing's rural areas and to offer policy recommendations for advancing the progress of essential public health services. Methods: With the self-designed questionnaire, the paper collected data from the districts of Changping, Tongzhou, Huairou and Miyun. By cluster random sampling, 12 community health service centers and 108 personnel were surveyed based on the level of economic development. Results: The number of young women, preventive personnel and staff with low ranking positions represents a significant share of all essential public health service providers. Beijing's rural areas deploy a great deal of human resources for vaccination and health education with little set aside for women's health and reproductive health. The unit cost of setting special columns for health education and field disease treatment is higher than other service items. The suburbs deploy a great deal of human resources for service items than the outskirts while the unit costs are lower. Conclusions: Human resource for essential public health services in Beijing's rural areas should be strengthened. The costs of service items differ greatly so that policy adjustments and finances should be implemented based on actual demand and resources. |
| Key words:Rural areas Essential public health services Human resources Costs |
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