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目的了解我国二级及以上医疗机构公共卫生职能的承担情况。方法对4个省进行实地调研,对180家二级及以上医院进行问卷调查。结果上报医疗机构对15项公共卫生职能的承担数为0.78,发文组与设置组承担数更高。各项公共卫生工作在医疗机构的开展情况不尽相同。院内公共卫生职能管理分散。结论建议在二级及以上医院内部单独设置公共卫生科(处),统筹全院公卫工作,并对各级各类医疗机构的公卫职责进行重新划分。
Objective To understand the commitment of public health functions of medical institutions in China’s second-tier and above. Methods Field research was conducted in 4 provinces and 180 hospitals in secondary level and above were surveyed. As a result, the number of reported medical institutions to 15 public health functions was 0.78, and the number of sending and setting teams was higher. The public health work in the medical institutions are not the same. Hospital public health function management scattered. Conclusions It is suggested to set up a separate public health department (department) within the second-grade and above hospitals to co-ordinate the public health work in the hospital and to redistribute the public health responsibilities of all kinds of medical institutions at all levels.