中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2015年
2期
91-95
,共5页
卫生政策工具%城市优质医疗资源下沉%乡村医生%家庭医生%选择
衛生政策工具%城市優質醫療資源下沉%鄉村醫生%傢庭醫生%選擇
위생정책공구%성시우질의료자원하침%향촌의생%가정의생%선택
Health policy instruments%High-quality medical resources from city to sink%Rural doctor%Family doctors%Selection
目的 分析与探寻城市优质医疗资源下沉中的卫生政策工具选择依据与途径,为政策推进提供参考.方法 对济宁市“万名保健医生进农户”活动进行现场调查,共调查入村医生453人,乡村医生294人,居民572人;对资料进行描述性分析.结果 “万名保健医生进农户”活动公平性方面,农村居民签约率为97.8％,家庭保健医生义诊171.5万次;经济性方面,上级医生、乡村医生与农村居民认为,政策能促进城市优质资源下沉农村,能提升村医公共卫生服务水平;适应性方面,60.4％的上级医生与92.7％的乡村医生认为能胜任保健医生角色,但51.8％的上级医生不习惯当前的工作方式;可执行性方面,工作量增加、工作时间被占用、诊疗设备配备不足、机构业务收入减少,是上级医生与乡村医生主要抱怨所在;可接受性方面,90.4％的农村居民表示支持.结论 政府在推进优质医疗资源下沉中,应在充分考虑强制性、自愿性与混合型政策工具特点的基础上,对卫生政策工具进行适当选择与优化,才能保证政策推进效果.
目的 分析與探尋城市優質醫療資源下沉中的衛生政策工具選擇依據與途徑,為政策推進提供參攷.方法 對濟寧市“萬名保健醫生進農戶”活動進行現場調查,共調查入村醫生453人,鄉村醫生294人,居民572人;對資料進行描述性分析.結果 “萬名保健醫生進農戶”活動公平性方麵,農村居民籤約率為97.8％,傢庭保健醫生義診171.5萬次;經濟性方麵,上級醫生、鄉村醫生與農村居民認為,政策能促進城市優質資源下沉農村,能提升村醫公共衛生服務水平;適應性方麵,60.4％的上級醫生與92.7％的鄉村醫生認為能勝任保健醫生角色,但51.8％的上級醫生不習慣噹前的工作方式;可執行性方麵,工作量增加、工作時間被佔用、診療設備配備不足、機構業務收入減少,是上級醫生與鄉村醫生主要抱怨所在;可接受性方麵,90.4％的農村居民錶示支持.結論 政府在推進優質醫療資源下沉中,應在充分攷慮彊製性、自願性與混閤型政策工具特點的基礎上,對衛生政策工具進行適噹選擇與優化,纔能保證政策推進效果.
목적 분석여탐심성시우질의료자원하침중적위생정책공구선택의거여도경,위정책추진제공삼고.방법 대제저시“만명보건의생진농호”활동진행현장조사,공조사입촌의생453인,향촌의생294인,거민572인;대자료진행묘술성분석.결과 “만명보건의생진농호”활동공평성방면,농촌거민첨약솔위97.8％,가정보건의생의진171.5만차;경제성방면,상급의생、향촌의생여농촌거민인위,정책능촉진성시우질자원하침농촌,능제승촌의공공위생복무수평;괄응성방면,60.4％적상급의생여92.7％적향촌의생인위능성임보건의생각색,단51.8％적상급의생불습관당전적공작방식;가집행성방면,공작량증가、공작시간피점용、진료설비배비불족、궤구업무수입감소,시상급의생여향촌의생주요포원소재;가접수성방면,90.4％적농촌거민표시지지.결론 정부재추진우질의료자원하침중,응재충분고필강제성、자원성여혼합형정책공구특점적기출상,대위생정책공구진행괄당선택여우화,재능보증정책추진효과.
Objective To study and identify factors and evaluation criteria for optional health policy instruments for policy making reference.Methods A field survey was made to the " 10,000 primary care doctors to rural households" campaign in Jining city,covering 453 doctors sent to villages,294 village doctors,and 572 rural residents,with the data obtained subject to descriptive analysis.Results In terms of equity of the campaign,97.8％ of the rural residents have entered into agreements,and 1.715 million of free visits have been provided by family doctors; in terms of economics,most of the superior doctors,rural doctors and rural residents believed that the policy could encourage high quality resources to sink to rural areas,and enhance the competence of public health services by rural doctors.In terms of the adaptability,60.4 ％ of the superior doctors and 92.7％ of the rural doctors hold that they are competent for health care role,but 51.8％ of the superior doctors were found not used to the current working mode.In terms of the enforceability,main complaints of superior doctors and rural doctors were excessive workload,overlong working hours,insufficient medical equipments,and reduced institutional revenue In terms of acceptability,90.4％ of the rural residents are supportive Conclusion The promotion of such a policy calls for a combination of compulsory,voluntary and mixed policy instruments in sinking the resources,with appropriate selection and optimization of such instruments,to ensure outcomes of the policy.
