| ObjectiveTownship health center is the hings of the county-town-village three-level network of medical treatment, it is very important for the normal action of the county-town-village three-level network of medical treatment. The construction of township health centers is one of the important points in healthâ…§project. The objective of the present study is to assess the results of the buildings, equipment, and personnel construction of township health centers listed in healthâ…§project. The assessment for the construction of township health centers can present the results of construction for township health centers listed in healthâ…§project and the difference with the township health centers in contrast. The experience of the construction for township health centers can raise the efficiency, improve the effect, provide the suggestion for the new national construction for township health centers, and develop the construction of township health centers fast.Methods1. A multi-stage random sampling was used to select 2 counties (34 health centers in small towns) listed in healthâ…§project and 3 counties listed in Non-WBL Project (13 township health centers in a blank control county and 29 township health centers in 2 test control counties). 2. Delphi method was used to determine the assessment index: The data were composed by final assessment data of healthâ…§project, the annual report in 1998-2006 in Henan Province, the census data of rural health in Henan Province, and the assessment data for rural township health center in Henan Province, the assessment indexes were produced by study group, then be discussed by experts of healthâ…§project, be revised and be determined at last. 3. 3 stage contrast was set to analysis: The blank control between the health centers listed in healthâ…§project and the health centers listed in Non-WBL Project was established to assess the project construction. The test control was established between the health centers listed in healthâ…§project and the health centers listed in Non-WBL Project. The owncontrol was studied. The x~2 test, dynamic series analysis, principal componentanalysis, and cluster analysis were used to analyze the data using SAS, SPSS, and EXCEL software.Results1. Rationality of scaleThe scale of bed number and construction area of health centers listed in Healthâ…§project basically comply with the standard released by Ministry of Public Health, the non-business using ratio is merely 2.56%. The sale of bed number of health centers listed in Non-world Bank-List Project is not large, while the scale of construction area is larger, the non-business using ratio is 24.88%.2. Function applicability conditionHealth center listed in healthâ…§project was better than health center listed in Non-WBL Project to satisfy the function need and the reasonable distribution in generally. Health center listed in healthâ…§project was better than health center listed in Non-WBL Project for the rationality of room areas and flow sheet in business. The prevalence rates of reasonable for health center listed in and not in healthâ…§project were 76.47% and 34.48%.3. Safety and sanitation atatusThe sanitation condition of health center listed in healthâ…§project was better thanthat listed in Non-WBL Project. The rooms in business were easy to clean and theequipment to manage the dirt is complete. The health centers listed in healthâ…§project were better than those listed in Non-WBL Project in the protection for theX-ray, and the rate of conformity in the protection for the X-ray of health centerslisted in healthâ…§project in 2006 was 95.00%.4.Supportiong facilities constructionGenerally, health centers listed in healthâ…§project were better than health centerslisted in Non-WBL Project for the power supply, water supply, warming system, toilet,kitchen, and enviroment, espicially for the warming system, toilet, and kitchen. 76.47%, 79.41%, and 67.65% health centers listed in healthâ…§project had warmingsystem, toilet, and kitchen, but it were all less than 45% for the health centers listed inNon-WBL Project.5.Basic equipment configurationGenerally, the health centers listed in healthâ…§project had better equipment than thehealth centers listed in Non-WBL Project, the rate of idleness was 8.82% for thehealth centers listed in healthâ…§project, and it was 31.03% for the health centerslisted in Non-WBL Project.6. personnel construction:There were great changes for the academic career and professional structure in thehealth centers listed in healthâ…§project, the percentage of higher academic careerand higher professionals were higher than those listed in Non-WBL Project.7.Satisfaction degree of patients:The general satisfaction degree of patients to the health centers listed in healthâ…§project and listed in Non-WBL Project were 74.65 and 51.87, the satisfaction degreein health centers listed in healthâ…§project was significantly higher than that inhealth centers listed in Non-WBL Project espically for the toilet and kitchen in health centers listed in healthâ…§project.8. Satisfaction degree of staff:The general satisfaction degree of staff to the health centers listed in healthâ…§project and listed in Non-WBL Project were 76.23 and 49.36, espically for warmingsystem, toilet, and professional equipment in health centers listed in healthâ…§project.9.Utilization of medical service:The results showed that the increase in person-time of hospitalization, child deliveryperson-time of hospitalization, surgery person-time and bed utilization rate of healthcenters listed in Healthâ…§project are remarkable and obviously greater than those ofhealth centers listed in Non-WBL Project; however,the increasing amplitudes ofaverage outpatient service fee per time and the average inpatient fee per time of healthcenters listed in Healthâ…§project are notably lower than those of health centerslisted in Non-WBL Project.Conclusions:1. There were goog results for the constructions for the buildings, equipment, and personnel in health centers listed in healthâ…§project, the Rationality of scale, function using, health safe, related equipment, professional equipment, the satisfaction from patients, the satisfaction from employee, and the utilization of medical service in health centers listed in healthâ…§project are better than those in health centers listed in Non-WBL Project. The construction of township health centers listed in healthâ…§project relatively succeed.2. There are some suggestions for the development of township health centers: (1) there are three key points for the construction: planning, design, and supervision. (2) the construction of buildings, equipment, and personnel should be strengthened to creat a good working enviroment, the construction of personnel in primary level should be highly thought to elevate the quality of healthy workers.3. The township health centers listed in healthâ…§project can be spread as a sample for the construction of health centers to promote the development and management of rural county-town-village three-level network of medical treatment in China.
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