| Objective:Through survey of the14community health service institutions in Mi-Dong area Urumqi, understanding of Mi-Dong area community health service development situation present. At the same time through the community health service centers and towns and Townships, this paper compares and analyzes the indicators for community health development countenneasure meters east characteristics. Methods: Through the7community health service centers and the7towns and townships as the research object.(1)Collecting data including the size of the community health service institutions, infrastructure, services, balance of the population, and other basic data, through the report and performance evaluation to understand community health services in the project task completion;(2)Questionnaire and interview. To the bureau of health, CDC, leaders, community health service institutions, medical staff, and community residents to combine questionnaire investigation and interview. With the method of random sampling,364questionnaires,352effective questionnaires were taken back, the effective rate was96.7%. Results:(1)14Community health service institutions population coverage of100%In Mi-Dong area, average each community health service center of about30000people, each service around22000people in town ship Institutes of health, accord with the requirement of national standard;(2) The community health service center of the average housing area of7686m2, more than national standards in towns, and townships average housing area is618m2, but2townships less than500m2,is not Conform the standard;(3) Community health service center of equipment is good, Reached the standard of secondary hospital; the townships equipment condition is relatively low, but the basic can satisfy for residents to provide basic health care services;(4) The community health service center number of doctors per thousand population was2.40, nurses number of2.60per thousand population, health care than 1:1.06,5.9per one thousand beds; townships number of doctors per thousand population is only0.5people, the number of nurses per thousand population is only0.51people, health care than1:1.03:1.38per one thousand beds. The differences between town and country is larger, the community health service centers and indicators were higher than townships. There are not up to standard indicators in townships. Community health service center in one thousand on the number of doctors and health care lower than the national standard;(5) Workers age composition:in36-49years old age people most, Followed by more than50years old, the lowest percentage less than35staff, townships of structure relative aging;(6) Degree are:college education accounted for46%of community health service center, townships and the following technical secondary school educational background accounted for40%, The difference between the two statistical statistically significant;(7) Title composition:community health service centers and towns and townships title structure are given priority to with primary title, center without titles accounted for28%, in towns and townships, no professional titles accounted for20%. The difference between the two statistical statistically significant;(8) Income and spending situation:community health service centers is given priority to with medical treatment, drug income,44%and33%respectively, townships is given priority to with superior grants and drug income,39.81%and39.81%respectively; and Urban and rural community health service institutions spending are in medical treatment and medicine. The community health service centers drug spending accounted for32%, the townships was46%. The community health service centers health spending accounted for46%, the townships was19%.(9) Preventive care service:For the health records coverage rate, the vaccination card rate, the System management coverage in0-6years old children rate, the maternal management coverage rate statistical. The System management coverage in0～6years old children rate of56.57%, less than80%of the national standard, other services have been up to standard. The difference between the health records coverage rate and the System management coverage in0～6years old children rate are statistical statistically significant.(10) Disease management:For the Tuberculosis (TB) management coverage rate, the AIDS management coverage rate, the hypertension management rate, the diabetes management coverage rate statistical. The difference between the Tuberculosis (TB) management coverage rate, the hypertension management rate and the diabetes management coverage rate are statistical statistically significant.(11) Clinic purpose and reason:the main purpose of Urban and rural residents are diagnosis and treatment, prescriptions and transfusion injection. Urban and rural residents to choose the main reason for the community health service institutions visits are near home and low price.(12) Urban residents of community health service center overall satisfaction was55.2%, the farming community residents in towns and townships overall satisfaction is59.0%; Urban residents of community health service center of medical environment is satisfied, the interpretation of the farming community residents in towns and townships degree satisfied, not satisfied with the medical environment. Conclusion:Community health service centers in the service of population, the building area, equipment configuration and basic public health project completion and other measures, to reach even exceed standard, but on the number of health human resource configuration and structure of the existing unreasonable phenomena; And the townships in addition to the service population, building area, equipment configuration and basic public health services project completion qualified of the index, other indicators less than national standards, in the allocation of human resources for health, with the standard large difference. From urban and rural community health service institutions compared the indicators, in addition to the basic public health project part there was no statistically significant difference completion rate index, and other indicators difference had statistical significance. Through the investigation and interview, we found that the community health services development is good, but it is still in its infancy, and the gap between urban and rural is larger in mi-dong area. There are many problems to be solved. Mainly include:government financial support is insufficient, the degree of residents’ understanding of community health services limited, urban and rural infrastructure construction great gap, lack of health human resource and unreasonable structure, community health service function implementation is not comprehensive, community health service leadership and related professionals in knowledge and ideas to improve. |
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