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目的调查基本公共卫生服务项目实施效果。方法采用定性研究和定量研究的方法,对枣阳市各乡镇和社区医疗机构基本公共卫生服务项目实施效果进行评估。结果 26个乡镇/社区医疗机构,综合得分为75.56,其中社区卫生服务中心81.75,中心卫生院79.51,一般卫生院73.31,三者得分差异有统计学意义。合格5家,基本合格18家,不合格3家。预防接种、老年人健康管理、2型糖尿病患者健康管理平均完成率较高,分别为99.65%,96.19%和95.32%;健康教育知晓率、居民健康档案建立、孕产妇健康管理、重型精神病患者管理和卫生监督协管完成度较低,分别为91.54%、91.14%、90.91%、89.2%和86.77%。结论基本公共卫生服务项目实施效果明显,但优秀和合格单位比例较小。社区和卫生院各个单项工作发展不平衡。社区应重点加强老年人、糖尿病、高血压患者健康管理工作。卫生院重点加强孕产妇健康管理和重型精神病患者管理,加强健康教育。
Objective To investigate the implementation effect of basic public health services. Methods The methods of qualitative and quantitative research were used to evaluate the implementation effect of basic public health service projects in towns and community medical institutions in Zaoyang city. Results Twenty-six township / community medical institutions had a combined score of 75.56, of which 81.75 were community health service centers, 79.51 central hospitals and 73.31 general hospitals. The differences among the three groups were statistically significant. 5 qualified, basically qualified 18, 3 failed. Vaccination, health management of the elderly, patients with type 2 diabetes health management average completion rate was higher, respectively, 99.65%, 96.19% and 95.32%; health education awareness, establishment of health records, maternal health management, management of patients with severe psychosis And health supervision co-management degree is lower, respectively 91.54%, 91.14%, 90.91%, 89.2% and 86.77%. Conclusion The implementation of basic public health service is obvious, but the proportion of excellent and qualified units is small. The development of various individual work in community and hospitals is not balanced. Community should focus on strengthening the elderly, diabetes, hypertension health management. Health centers focus on strengthening maternal health management and management of patients with severe mental illness, strengthen health education.