目的 对基本公共卫生服务过程进行分析,获取其执行过程中存在的问题。方法对黑龙江、安徽和广东省29家社区卫生服务机构,采用深入访谈法和问卷调查进行数据收集。结果 政府基本公共卫生服务经费拨款为15元/人的占51.72%;3个省社区平均每万人口数与公卫医师的配比为0.25、0.25、0.35,正式编制人员数仅占44.15%;在9项基本公共卫生服务中,建立居民健康档案、健康教育、老年人保健和慢性病管理的覆盖率达到了100%,慢性病患者的管理率仅约为40%及重性精神病管理率低于10%,新生儿访视率、孕产妇产前管理率和产后访视率均约为20%;居民对基本公共卫生服务项目的知晓率仅为42.62%。结论 所调查社区卫生服务机构基本公共卫生服务项目开展不均衡,在"量"上取得显著成效,但在"质"上存在较多问题。
Objective To evaluate the implementation of basic public health service and to explore the problems during its execution. Methods The in-depth interview and questionnaire survey were conducted in 29 community health service institutions of Heilongjiang,Anhui,and Guangdong province to collect data. Results There were 51.72% of the communities with a government investment of 15 RMB yuan for one person for the basic public health service.In the three provinces, the average munber of public health workers for ten thousand population was 0.25,0.25,and 0.35,respectively,and the ratio of formal workers was only 44.15%.For the nine basic public health service items,the coverage rate of health records,health educaion,elderly care,and chronic disease management reached 100%.But chronic disease managment rate was only about 40% and the psychiatric management rate was below 10%.The neonatal visit rate,maternal former management rate,and postpartum visit rate were about 20%.Residents'awareness of basic public health service project was only about 20%. Conclusion Basic public health serveice project was unbalanced among the community health service institutions surveyed and the quality of the public health service needs to be improved.