弥渡县3所乡卫生院卫生资源现况、利用及收支情况案例分析.pdfVIP

昆明医学 院学 报 2008。(2B)：33～37 CN 53一lO49l／R Journal of Kunmlng Medical University | | l _ l 弥渡县3所乡卫生院卫生资源现况、利用及收支情况案例分析 张树明，刘庆文，祁秉先 (云南医学高等专科学校，云南昆明 650031) [摘要]目的 了解目前云南农村卫生医疗机构存在的问题并探讨应对策略．方法 以我省最早的20个新 型农村合作医疗试点县之一弥渡县为样本，按距离县城近、中、远3个层次选择太花、寅街、牛街3个乡卫生 院进行调查．结果 (1)3个乡卫生院各有1名管理人员 (院长)，3个乡每千人口的卫生技术人员和床位数分 别为0．45和0．53；(2)卫生技术人员中，医学中专、大专、本科及以上学历者分别占77．65、6．7％和3．4％， 具有主治医师及以上职称者仅11人；(3)各卫生院均消灭危房，就医环境明显改善；(4)各卫生院基本设备 数量少，种类不全，且利用率低；(5)各卫生院收入以药品收入为主，支出以药品和人头费为多．结论 农村 卫生资源匮乏，经营状况不乐观．建议通过多渠道提高在岗卫技人员学历，选用优秀管理^才，更新观念，创新服务 模式． [关键词]农村卫生资源；存在问题；解决方法 [中图分类号]R195【文献标识码]A[文章编号]1003—4706(2008)2B一0033—05 Case Study about Current Situation of Health Resourse of 3 Commune Hospitals in Midu Coun ty ZHANG Shu—ming，LIU Qing—wen，QI Bing—xian (Yunnan Medical College，Kunming Yunnan 65003 1，China) [Abstract]Objective To find out the problems in the face of the rural commune hospital in Yunnan，and explore response strategies．Method Tai-hua，Yin-jie，Niu-jie commune hospitals range near，medium，far from Mi Du County town were surveyed．Results(1)There was only one manger(principle)in each hospita1．One thousand of population in the 3 communes had 0．45 medical personnel and 0．53 sickbeds．(2) Among medical personne1．77．6％have been trmned in secondary vocational school and 6．7％ in medical college and 3．4％in medical university or above．There were only 1 1 attending doctors．(3)All three hospitals had no dangerous building．The environment of treatment was great improved．(4)The basic apparatus were old and a few，and utilizable efficacious of them Was very low．(5)The main income was from medicines，and main expenditure Was for medicines and personne1． Con