CAJ | 학술논문

目的：分析国家基本公共卫生服务项目乡村两级职责分工情况，为提高农村公共卫生服务质量和效率提供借鉴。方法：利用SPSS 12.0统计分析软件中t检验等分析模块对样本地区乡村两级基层公共卫生服务机构2009-2011年的人力资源、职责分工及经费分配数据进行差异性分析，并对访谈资料进行定性分析。结果：乡村两级公共卫生服务负责人对其所在机构承担的职责比例的主观认识存在分歧，乡村两级职责分工比例并未达到标准化状态，与人力资源配置不合理、经费分配不平衡密切相关。结论：应从促进机构合理分工、有效交流，完善人力资源配置，建立健全经费保障机制等方面入手，改善乡村两级职责分工现状，从而提高农村公共卫生服务质量和效率。
목적：분석국가기본공공위생복무항목향촌량급직책분공정황，위제고농촌공공위생복무질량화효솔제공차감。방법：이용SPSS 12.0통계분석연건중t검험등분석모괴대양본지구향촌량급기층공공위생복무궤구2009-2011년적인력자원、직책분공급경비분배수거진행차이성분석，병대방담자료진행정성분석。결과：향촌량급공공위생복무부책인대기소재궤구승담적직책비례적주관인식존재분기，향촌량급직책분공비례병미체도표준화상태，여인력자원배치불합리、경비분배불평형밀절상관。결론：응종촉진궤구합리분공、유효교류，완선인력자원배치，건립건전경비보장궤제등방면입수，개선향촌량급직책분공현상，종이제고농촌공공위생복무질량화효솔。
Objective:To analyze the responsibility division of township and village in national essential public health service project, and propose references for improving the quality and efficiency of rural public health services. Methods: Analysis modules of SPSS12.0 statistical analysis software, such as T-test, were used to compare rural grass-roots public health service institutions on human resources, division of responsibilities and allocation of funding data from 2009 to 2011. Interviews were used for qualitative analysis. Results: In terms of the subjective understanding of responsibility proportions the institutions undertake, there exists differences between people in charge of public health services in township and village institutions. Due to the ureasonable assignment of human resources and imbalanced allocation of funding, the responsibility proportions of rural institutions have not been up to standard. Conclusion: It is suggested to improve the present situation of division of township and village responsibilities by promoting reasonable division of responsibilities, effective communication, assignment of human resources, establish and improve the mechanism to ensure funding, thereby to enhance the quality and efficiency of public health services in rural areas.