目的了解成都市基层卫生人力资源绩效基线现状,为我国提高基层卫生人力资源绩效及统筹城乡卫生改革提供基线证据与政策建议。方法同本系列研究之二。结果①成都市三圈7个乡院/中心近5年诊疗人次均稳中有升,除最偏远两个乡院(人和、白鹿)外,均高于全国乡院平均水平。②在全球、全国、重庆还不能得到确切数据的情况下,7个乡院/中心的“六位一体”工作能得到较详实的数据,且普遍高于全球、全国平均绩效水平,但一圈到三圈呈递减趋势。③成都市乡镇/社区患者对乡院/中心“六位一体”工作满意、很满意率达65%～80%,但卫生人员的工作满意、很满意率仅9%～46%,且一圈到三圈呈递减趋势。结论①成都市基层卫生机构在卫生人员数量少、学历和职称偏低、待遇偏低、工作环境艰苦的条件下仍能提供绩效较全球、全国乡院平均水平更高的“六位一体”卫生服务,获当地患者较高满意度。②成都市卫生人员从一圈到三圈数量递减、学历和职称递降、配置不合理渐突出、服务难度递增等多种原因,导致卫生人员满意度从一圈到三圈逐渐下降。建议:①针对不同功能定位、工作类别的卫生机构或人员制定不同的绩效考核标准。通过多种培训、再教育方式保证现有卫生人员知识、临床技能不断更新。②整合区域卫生资源,建立长期、稳定的区域内上级卫生机构/人员帮扶制度、科学合理的双向转诊制度及指标体系。③晋级中应适当对基层单位倾斜,适度降低其晋级门槛,增加区域针对性和实际应用性的标准。 Objective To understand the status quo of baseline performance of primary health workers in Chengdu and to provide baseline evidence and policy recommendations for improving the performance of primary health workers and coordinating urban and rural health reform in our country. Methods with the second series of this study. Results ① In the past five years, the township hospitals / centers in seven circles in three circles in Chengdu all maintained a steady increase, with the exception of the two most remote townships (Renhe and Bailu), all of which were higher than the average of rural homes in China. ② In the world, the whole country, Chongqing can not get the exact data, the seven townships / centers can get more detailed data about the “six in one” work and they are generally higher than the global and national average performance levels. However, One cycle to three cycles showed a decreasing trend. (3) Satisfaction rate of 65% ~ 80% was satisfied with township / center “Six in One ” patients in Chengdu township / community, but the satisfaction of the health personnel was satisfactory only 9% ~ 46% One cycle to three cycles showed a decreasing trend. Conclusions ① The grass-roots health institutions in Chengdu can still provide better performance than the rest of the world in terms of the number of health personnel, low academic and professional titles, low pay and difficult work environment. "Health services, by the local patients higher satisfaction. ② The number of health workers in Chengdu decreased from one circle to three laps, with decreasing academic and professional titles, unreasonable configuration gradually protruding, and increasing difficulty in service. As a result, the degree of satisfaction among health personnel decreased gradually from one circle to three laps. Recommendations: ① for different functional positioning, work categories of health institutions or personnel to develop different performance appraisal standards. Through a variety of training, re-education to ensure that existing health personnel knowledge, clinical skills constantly updated. (2) Integrate regional health resources and establish a long-term and stable system of assistance to higher-level health institutions / personnel in the region and a scientific and rational two-way referral system and indicator system. ③ promotion should be properly inclined to the grass-roots units, moderately lower their barriers to entry, increase the regional relevance and practical standards.