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目的:分析医疗卫生制度实施对基层卫生技术人员提供医疗和防保服务的影响。方法:实验研究前后,分别利用机构调查表,获取基层卫生机构医疗及防保工作的基本数据;利用处方分析法,分析卫生技术人员行医行为的变化,并对卫生技术人员进行定性访谈。结果:与对照县相比,项目县基层卫生技术人员用药量减少,基本药物利用率提高;抗生素使用率、多联抗生素使用率以及静脉输液率下降;公共卫生服务开展的范围和数量增加,卫生服务质量有所提高。结论:基本医疗卫生制度的实施,卫生技术人员的诊疗行为更加规范,更加重视公共卫生工作。
OBJECTIVE: To analyze the impact of the implementation of the health care system on the provision of medical and prevention services to grassroots health technicians. Methods: Before and after the experimental study, we used the institutional questionnaire to obtain the basic data of the medical care and prevention work in the primary health care institutions. We also analyzed the changes in the practice behavior of the health technicians through prescription analysis, and conducted qualitative interviews with health professionals. Results: Compared with the control county, the number of grassroots health technicians in the project counties decreased, the basic drug utilization rate increased; the antibiotic utilization rate, the rate of multiple antibiotic use and the rate of intravenous infusion decreased; the scope and quantity of public health services increased; Service quality has improved. Conclusion: The implementation of the basic medical and health system, the health service technicians more standardized treatment, pay more attention to public health work.