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

 
投稿时间: 2014-10-23  最后修改时间: 2014-11-15  摘要点击次数: 2470  全文下载次数: 2
 
引用本文:薛婉君, 姚楠, 王芳,等.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[J].中国卫生政策研究,2014,7(12):31-36
薛婉君1,2, 姚楠2, 王芳2, 宋莉3, 李向东4, 贾利高4, 刘颖3, 裘洁3
1. 北京协和医学院 北京 100730;
2. 中国医学科学院医学信息研究所/卫生政策与管理研究中心 北京 100020;
3. 国家卫生与计划生育委员会妇幼健康服务司 北京 100044;
4. 湖北省卫生与计划生育委员会妇幼处 湖北 武汉 430079
基金项目:中央级公益性科研院所基本科研业务费(13R0111)
 
 摘要: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. 
  关键词:整合|妇幼卫生|计划生育|崇阳县
 
Study on integration of maternal and child health and family planning service system in counties and town: Evidence from Chongyang county of Hubei province
XUE Wan-jun1,2, YAO Nan2, WANG Fang2, SONG Li3, LI Xiang-dong4, JIA Li-gao4, LIU Ying3, QIU Jie3
1. Peking Union Medical College, Beijing 100730, China;
2. Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
3. The department of maternal and child health services, National Health and Family Planning Commission, Beijing 100044, China;
4. The department of maternal and child health services, Hubei Health and Family Planning Commission, Hubei Wuhan 430079, China
 
 Abstract:Objective: Taking Chongyang county of Hubei Province as an example, the paper describes the integration of the maternal and child health (MCH) and family planning (FP) service system and analyses the key elements 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 reasonably, 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. 
 keywords:Integration|Maternal and child health|Family planning|Chongyang county