CAJ | 학술논문

目的：对基本药物制度实施后社区卫生服务（ CHS）中心卫生资源配置情况进行综合评价。方法采用秩和比法（ RSR）对山东省内所调查县（市）的社区2O12年资源配置情况进行排序分档，并运用SPSS 19. O统计软件对分档结果进行方差分析；结合重要性象限推导模型对资源配置与利用情况进行研究。结果 RSR分析结果显示，1O地区CHS中心卫生资源配置评价结果可分为3档，其中上档地区2个，中档地区7个，下档地区1个。方差分析结果显示，各分档间差异有统计学意义（F=11.2O3，P=O. OO7）。结合卫生服务利用情况综合评价可知，A、B、E3个地区CHS中心在保证卫生服务利用较为充分的前提下，卫生资源配置应优先得到重视。结论各中心资源配置水平相差不大，集中于中档水平；政府应保证对基本药物制度实施后CHS机构的财政支持力度，促进其合理配置卫生资源；CHS机构应依据自身规模和发展要求匹配足够的医疗设施和医务人员，不断提高自身服务质量和服务水平。
목적：대기본약물제도실시후사구위생복무（ CHS）중심위생자원배치정황진행종합평개。방법채용질화비법（ RSR）대산동성내소조사현（시）적사구2O12년자원배치정황진행배서분당，병운용SPSS 19. O통계연건대분당결과진행방차분석；결합중요성상한추도모형대자원배치여이용정황진행연구。결과 RSR분석결과현시，1O지구CHS중심위생자원배치평개결과가분위3당，기중상당지구2개，중당지구7개，하당지구1개。방차분석결과현시，각분당간차이유통계학의의（F=11.2O3，P=O. OO7）。결합위생복무이용정황종합평개가지，A、B、E3개지구CHS중심재보증위생복무이용교위충분적전제하，위생자원배치응우선득도중시。결론각중심자원배치수평상차불대，집중우중당수평；정부응보증대기본약물제도실시후CHS궤구적재정지지력도，촉진기합리배치위생자원；CHS궤구응의거자신규모화발전요구필배족구적의료설시화의무인원，불단제고자신복무질량화복무수평。
Objective Thisstudyaimstocomprehensivelyevaluatetheallocationofhealthresourcesincommunity healthservice(CHS)centersaftertheimplementationoftheessentialmedicinesystem.Methods ShandongCHSCs'resources allocation conditions in 2O12 were sorted and graded by the Rank Sum Ratio( RSR)method,and F test was applied to examine the graded results using SPSS19. O,then the allocation and utilization of health resources were studied under important quadrant model.Results RSRanalysisshowedthattheevaluationresultsofhealthresources'allocationofCHSCsin1Ocountiescouldbe divided into three levels(2 to the upper level,7 to the middle level,and 1 to the lower level). F test analysis showed that thedifferences between the three levels were of statistical significance(F=11. 2O3,P=O. OO7). Combined with the utilization-e-valuating outcomes of health care services,it's clear that the allocation of health care resources in the 3 counties A,B and E shouldbetakenseriouslyasapriority,onconditionthatthehealthcareservicesarefullyutilized.Conclusion Thedifferences between allocation levels of health care centers aren't significant,and are mostly included in the middle level group. The govern-ment should guarantee the financial support for CHSCs after the implementation of essential medicine system,and promote rational allocation of health care resources. To match their various sizes and developing requirements,CHSCs should build enough facili-ties and recruit more medical personnel in order to constantly improve their service quality levels.