论文部分内容阅读
目的综合评价四川省农村基层医疗卫生服务机构开展乳腺癌筛查的能力。方法通过查阅文献、德尔菲法和专题小组讨论制定了机构建设、人力资源、筛查设备配置和公共卫生服务四大类指标体系;运用既往资料收集、现场观察、电话访问,获取四川省40家乡镇卫生院的各类指标,统计描述机构的乳腺癌筛查能力,采用t检验或χ2/Fisher检验方法比较不同经济水平地区和不同地理地貌地区机构的各项评价指标差异。结果本次调查的乡镇卫生院的平均业务用房面积(1 484±1 345)m2、设置床位(19±13)张,平均每家机构的在岗工作人员(23±21)人,其中卫生技术人员(19±16)人,占82.61%,在岗员工中大专及以上学历所占比例为34.78%,经济水平较高地区资源相对丰富。40家调查机构中只有2家(5.00%)配备有乳腺高频超声,没有机构配备有钼靶X线,仅有2家机构(5.00%)参与过乳腺癌筛查项目。结论四川省农村基层医疗卫生服务机构的基本建设和人力资源低于全国平均水平,应加强农村基层卫生机构的硬件投入和人力资源配置,为今后执行国家在农村地区开展乳腺癌等肿瘤筛查的计划提供保障,实现新医改服务均等化的目标。
Objective To comprehensively evaluate the ability of rural primary health care institutions in Sichuan to carry out breast cancer screening. Methods Based on the literature review, the Delphi method and the panel discussion, four categories of indicators were set up: institutional building, human resources, screening equipment configuration and public health service; using previous data collection, on-site observation and telephone interview, Various indicators of township hospitals, the statistical description of the organization’s ability to breast cancer screening, using t test or χ2 / Fisher test method to compare different economic level areas and geographically different regions of the various evaluation indicators. Results The average area of commercial premises (1 484 ± 1 345 m2) in township hospitals in this survey was 19 ± 13 beds, with an average of 23 ± 21 in-service staff in each institution, of which health technology (19 ± 16) persons, accounting for 82.61%. The proportion of employees with junior college education or above is 34.78%, and the regions with higher economic level are more resource-rich. Only 2 of the 40 investigation agencies (5.00%) were equipped with high-frequency breast ultrasound, no mammography was equipped and only 2 (5.00%) were involved in the breast cancer screening program. Conclusion The basic construction and human resources of rural primary health care services in Sichuan Province are lower than the national average. The hardware investment and human resources allocation of rural grass-roots health institutions should be strengthened so that the implementation of national cancer screening in rural areas such as breast cancer should be carried out in the future Plan to provide protection, to achieve the goal of equalization of new medical reform services.