摘要
北京市和上海市妇女保健体系的经费投入体现了政府主导(上海市的主导程度达适宜标准的83.8%)、设施设备的数量基本保障(北京市和上海市的适宜程度分别为适宜标准的56.7%和67.1%),但仍存在人员数量不足(北京市和上海市的适宜程度与适宜标准分别相差43.4%和32.9%)、薪酬水平不高(北京市和上海市的适宜程度与适宜标准分别相差56.5%和55.8%)、经费投入不能满足需求(北京市和上海市的适宜程度与适宜标准的分别差距47.8%和15.5%)、设施设备未能及时更新(北京市和上海市的适宜程度与适宜标准分别相差27.5%和30.6%)等问题。因此,在优化妇女保健体系资源配置过程中,北京市和上海市应注重稳定一支专业胜任、激励有效的队伍,确保资源配置形成制度保障,包括建立稳定增长的投入机制、设施设备的折旧更新制度等。
Fund investment of maternal health care system in Beijing and Shanghai showed that maternal health care system was dominated by government(the appropriate degree in Shanghai reached 83.8%of the appropriate standard),and the number of equipments basically met clinical requirements(the appropriate degrees in Beijing and Shanghai reached 56.7% and 67.1% of the appropriate standards,respectively),but there were still some problems,such as inadequate number of staff(the differences between the appropriate degrees in Beijing,Shanghai and the appropriate standards were 43.4% and 32.9%,respectively),low salary(the differences were 56.5% and 55.8%,respectively),not meeting clinical requirements of fund investment(the differences were 47.8% and 15.5%,respectively),not timely update of equipments(the differences were 27.5% and 30.6%,respectively).Thus,in the course of optimization of maternal health care resource allocation in Beijing and Shanghai,a high-quality and effective stimulus team should be established,the formation of institutionalized guarantee of resource allocation should be ensured,including establishing stably growing investment mechanism and update system of equipments.
作者
左姣
马东平
林振平
郝超
徐天强
王旭
张政
高翔
郝模
李程跃
ZUO Jiao;MA Dong-Ping;LIN Zhen-Ping(Research Center for Health Development Strategy,Fudan University,Shanghai,200032,China)
出处
《中国妇幼保健》
CAS
2020年第15期2740-2743,共4页
Maternal and Child Health Care of China
基金
国家自然科学基金项目(71774031,71303058)
国家“十二五”科技支撑专项项目(2014BAI08B00)
上海市卫生和计划生育委员会加强公共卫生体系建设三年行动计划项目(GWIV-32)
健康相关重大社会风险预警协同创新中心科研基金。
关键词
妇女保健
资源配置
优化
北京
上海
Maternal health care
Resource allocation
Optimization
Beijing
Shanghai
