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目的:探讨新医改环境下我国乡镇卫生院规划的科学路径与方法,为政府制定乡镇卫生院的相应管理政策提供参考依据。方法:通过文献分析法、专家咨询法、多输入加权优序图法、两步聚类法、TOPSIS综合评价法以及贝叶斯判别分析法确定我国各类乡镇卫生院规划设置的参考方案。结果:我国乡镇卫生院规划设置指标体系分3大模块、35个核心指标,乡镇卫生院依据经济、地理、人口状况3方面的不同聚成4类,每类乡镇卫生院分别拥有独立的规划设置参考值标准。结论:该研究将有利于实现乡镇卫生院的长足发展与规划的合理性,促进卫生资源的有效配置,改善和提高区域内卫生综合服务能力,使之能更好地为居民提供良好的公共卫生服务和基本医疗服务,满足不同层次的卫生保健需求,最终缩小地区间、人群间的健康差异,提高人民群众的健康水平。
Objective: To explore the scientific way and method of planning township hospitals in our country under new medical reform environment, and to provide a reference for the government to make the corresponding management policies of township hospitals. Methods: To determine the reference plans for the planning and setting of all kinds of township hospitals in China by literature analysis method, expert consultation method, multiple input weighted priority graph method, two-step clustering method, TOPSIS comprehensive evaluation method and Bayesian discriminant analysis method. Results: The index system of planning and setting of township hospitals in our country is divided into 3 major modules and 35 core indicators. The township hospitals are grouped into 4 categories according to their economic, geographical and demographic conditions. Each type of township hospitals has their own independent planning settings Reference standard. Conclusion: This study will be conducive to the long-term development of township hospitals and planning rationality, promote the effective allocation of health resources, improve and enhance the comprehensive health service capacity in the region so that it can better provide residents with good public health Services and basic medical services to meet the different levels of health care needs, and ultimately narrow the differences among regions and populations, and enhance the health of the people.