摘要
目的探讨基本公共卫生项目在基层落实的影响因素。方法利用自行设计的调查问卷,运用质性研究中现象学研究方法,对4组同质人群(县级疾控及卫生行政部门工作人员10人,镇卫生院院长23人,预防接种工作人员103人,村级接种人员110人)进行不记名问卷调查,深入访谈和小组焦点访谈,现场进行录音和笔录,通过分析资料并形成主体。结果 100%的工作人员均提到政府对基本公共卫生服务的重视和支持力度不够;85%的管理人员提出基本公共卫生服务责任主体和管理主体不明确;70%的工作人员认为基本公共卫生服务人员数量和质量不足,待遇偏低;68%的工作人员认为群众对基本公共卫生服务认识不到位。结论政府重视、责任和管理、群众认识、服务能力等是基层基本公共卫生服务的影响因素;加大培训力度、增加人员数量、规范服务、增加经费支持、开展宣传教育等是提高基层基本公共卫生服务的重要手段。
Objective To explore the effect factors of the primary public health services project carried out in grassroots level. Methods By using the self- designed questionnaire,the phenomenological qualitative research method was adopted to interview four homogeneous groups anonymously（ 10 staff working in county CDC and health administrative departments,23 leaders of township hospital centers,103 vaccination staffs of township hospital centers,110 village vaccination doctors）. Materials were collected through depth interview and focus group interviews with live recordings and transcripts. Results 100% staff mentioned that the governments didn＇t pay enough attention on the primary public health services project. 70% staff mentioned that the subjects of responsibility and management were not clear. 70% staff mentioned that the quantity of the staffs,the service quality of primary public health services and the salary of the staffs were low. People had improper awareness to primary public health. Conclusions Government attaches,responsibility and management,the awareness of the masses,service ability and so on are the main influencing factors; Enlarging training,increasing the number of professional staff,standardizing service process,strengthening propaganda and improving funding support,and so on are important means to strengthen the community＇s basic public health service quality.
出处
《医学动物防制》
2015年第10期1102-1104,共3页
Journal of Medical Pest Control
基金
儿童基金会加强西部麻疹监测项目健康教育子项目(C4D)
关键词
基本公共卫生服务
影响因素
调查分析
Primary public health services
Effect factors
Investigation and analysis
