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目的:评价“农村初级卫生保健项目”村卫生室基本服务能力干预措施的效果。方法:采用分层随机抽样方法在我国9省农村项目地区分别进行了基线和终线调查,用SPSS软件进行统计分析,统计方法选用χ2检验进行构成比和率的比较。结果:2001年基线调查和2005年终线调查政府为村卫生室村医提供固定补助经费的比例从2001年的37.0%上升到56.3%。村卫生室口服补液盐、高压消毒锅拥有率、使用一次性注射器的比例、统一购药率、门诊就诊登记和治疗开具处方的比例分别从2001年的22.7%、58.0%、69.9%、54.4%、46.1%、67.9%上升到2005年的42.4%、70.9%、91.3%、89.2%、84.5%和85.8%。村卫生室处方使用注射药品、抗生素和疾病的比例也分别从2001年的58.7%,58.6%和15.4%下降到2005年的18.8%,45.0%和0.6%。结论:项目干预措施使村卫生室的基本服务能力有了很大提高。
Objective: To evaluate the effectiveness of interventions in the basic service capacity of rural primary health care projects and village clinics. Methods: Baseline and end-line surveys were conducted in 9 rural project areas in China using stratified random sampling method. SPSS software was used for statistical analysis. Statistical methods were compared using χ2 test to compare the composition ratio and rate. Results: The baseline survey in 2001 and the 2005 end-of-line survey showed that the government provided fixed subsidies for village doctors in village health clinics from 37.0% in 2001 to 56.3%. The proportions of oral rehydration salts, high-pressure sterilization pots, use of disposable syringes, uniform drug purchase rates, out-patient consultation registrations, and treatment prescriptions in village clinics were 22.7%, 58.0%, 69.9%, and 54.4%, respectively, in 2001. , 46.1%, 67.9% rose to 42.4%, 70.9%, 91.3%, 89.2%, 84.5% and 85.8% in 2005. The proportion of prescription drugs, antibiotics, and diseases used in village clinics also dropped from 58.7%, 58.6%, and 15.4% in 2001 to 18.8%, 45.0%, and 0.6% in 2005, respectively. Conclusion: Project interventions have greatly improved the basic service capabilities of village clinics.