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Kunming City a certain district of rural public health services are currently sectional study

Author: ZhengJiaRui
Tutor: LuoJiaHong
School: Kunming Medical College
Course: Epidemiology and Biostatistics,
Keywords: Rural residents Rural public health services Government purchases Research Status
CLC: R197.1
Type: Master's thesis
Year: 2011
Downloads: 149
Quote: 0
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Abstract


Objective To conduct Xishan rural public health services research situation, a comprehensive understanding of Xishan rural public health services and the implementation of rural residents, party and government cadres, rural public health service managers, healthcare workers of public health services in rural areas true thoughts on the conduct of public health services in rural areas summarize the successful experience, to find problems in a targeted manner to make reasonable suggestions. Xishan health administrative departments to further improve the construction of rural public health services, and expand rural residents benefit coverage, improve health standards of rural residents to build sustainable, healthy and stable development of the rural public health service system to provide a scientific basis. Methods epidemiological status of research methods, according to the principle of multi-stage stratified random sampling Xishan party and government cadres, officers, medical personnel and the participation of rural residents for the survey of rural public health services evaluation and recommendations of the questionnaire investigation. Through reports and questionnaires to collect Xishan 2008 the situation of rural public health services assessment, financial cash situation; district-level health institutions generally, service delivery; township fundamental basic conditions, health services and health indicators, public health services carry out the situation; village basic health facilities, service capabilities, transportation and communication conditions, public health services to carry out and so on. All data using EpiData 3.02 双 entry, with SPSS17.0 statistical package for analysis. Results 1.2008 Xishan rural public health services framework or model has been basically established, the operating mechanism basically feasible, basically rational use of funds, the district, town and village on rural public health services file or ledger inspection, verification that district, town, Village on rural public health services file or ledger basically complete; district, town and village in rural public health services work basically by the provincial, municipal and district regulations and requirements to carry out the relevant documents; district-level public health services management units including District CDC, district health centers, district health inspection bureau, the District People's Hospital of public health services in rural township guidance and assessment is true; town hospitals for village health services in rural public health guidance and assessment basically true; clinic file or table account basically complete, there is no falsification or counterfeiting. Recommendations to further improve and refine the rural public health services, assessment mechanisms and norms of rural public health services of special funds regulatory mechanism. 2.2008 Xishan conducted five categories of rural public health services, including basic health services, disease prevention and control, maternal and child health, health surveillance and health education, completed a total of 109,650 times. In accordance with the standard theory should grant subsidies 441,207.00 yuan, the quality assessment, the actual expenditures 422,661.00 yuan, of which basic medical services expenses 4860.00 yuan; Disease Control and Prevention, patriotic public health, health education three working expenses 211,978.00 yuan; MCH expenditures 204,072.00 yuan; health supervision expenses 1751.00 yuan. 3 The survey of the three towns of 526 total 2,023 people in mid-2008 the average income of 12000.00 ± 12750.00 yuan, the average expenditure 10000.00 ± 14000.00 yuan, a doctor's office for an average of 2000.00 ± 3200.00 yuan, total expenditure 20.0 %. Two weeks prevalence was 6.67%; nearly a year of chronic disease prevalence of 5.19%; nearly a year hospitalization rate was 8.30%. 4 each village health and function-related equipment configuration is more reasonable, but the service function is not very strong, low levels of health care; 2008 village health public health services to carry out the pass rate at 69.0% or more. 5 the government funded the purchase of rural public health service policy to understand the situation, all of the managers and 42.9% of the medical staff know that in 2008 the government purchase of rural public health services, and government cadres, only 20.0% of the cadres to understand this policy, while rural Residents in 90.5% of people do not know this policy. 6 classes for five rural public health services specific services and subsidies for its situation. 80.0% of the party and government cadres do not know the specific public health services in rural areas to carry out projects and subsidy cases, 20.0% of the cadres and understanding; 57.3% of the medical staff is not aware of the specific public health services in rural areas to carry out the situation, nearly 60.0% of the general understanding of the medical staff ; All managers understand, generally known or completely unknown. 7 Specific services for public health evaluation, 58.3% -66.7% of the party and government cadres that are currently carried out by public health services and subsidies unreasonable enough to carry out the project; 68.6% -84.4% of managers believe that current carried out by public health services and subsidies reasonable enough to carry out the project; 60.0% -66.7% of the medical staff that is currently carried out by public health services and subsidies reasonable enough to carry out the project. 8 operational capacity of rural doctors evaluation. Rural doctors self-assessment, to deal with the general common disease, and only 16.0 percent and 33.0 percent of rural doctors to handle like a normal childbirth, fracture treatment, gastric lavage, handle general trauma, identify high-risk pregnancies and the like problems or illnesses ; the evaluation of party and government cadres, nearly 60.0 percent of the party and government cadres that the current existing village health doctors in rural areas the number (2) can not complete all of the public health service projects, the proposed number of rural doctors should be 3-4 about appropriate levels to reach at least college education and above; management evaluation, the majority (72.7%) believe that the existing number of doctors in rural areas (2) can not complete all of the public health service projects, and the general quality of finish. The number of rural doctors recommend should be about 3 to 4 appropriate to reach at least the level of college education and above; medical personnel evaluation, the majority (55.3%) believe that the existing number of doctors in rural areas (2) can not complete all of the public health service projects, and the completion of the general quality. The number of rural doctors recommend should be about 3 to 4, to reach at least the level of secondary education and above. Conclusion Xishan District government procurement framework or model of public health services has been basically established, the operation of subsidies Foundation benign development momentum, service quality assessment program basically viable, socially overall satisfaction is high, the use of funds is reasonable. Government purchases by conducting public health services in rural areas, rural residents improve health awareness, to a certain extent, improve the rural residents \gap between the level of stability of rural society has played a positive role in promoting. Recommendations to strengthen management and improve the rural public health services supervisory mechanism, improve the quality assessment system; strengthen rural doctors technical level and quality of integrated services training to improve the rural doctors of public health services capabilities.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
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