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目的:通过比较不同举办主体社区卫生服务机构功能实现情况,分析其在服务项目开展率、服务的数量和质量等方面的差异。方法:从36个全国社区卫生服务体系建设重点联系城市中抽取江苏省南京市、浙江省杭州市;安徽省合肥市、湖北省武汉市;陕西省西安市、四川省成都市等6市2009年常规监测数据进行分析。结果:公立医院举办的社区卫生服务站的公共卫生服务开展率和服务量方面均差于非政府举办的机构,民营社区卫生服务站在开展计划免疫服务以及提供规划内计划免疫服务方面要差于其他举办主体。结论:在加强政策引导和监管的基础上,应采取更积极的政策措施鼓励社会力量参与社区卫生服务。促进公立医院举办的社区卫生服务机构落实公共卫生功能。
OBJECTIVE: To compare the different functions of the main community health service organizations and analyze the differences in service delivery rate, quantity and quality of services. Methods: Nanjing, Jiangsu Province, Hangzhou City, Zhejiang Province, Hefei, Anhui Province, Wuhan City, Hubei Province, Xi’an City, Shaanxi Province, Chengdu City, Sichuan Province, etc. were selected from 36 key cities in the construction of community health service system in 2009 Routine monitoring data for analysis. Results: The public health service stations in public hospitals performed worse than the NGOs in terms of the rate and volume of public health services. Private community health service stations were inferior in carrying out planned immunization services and providing planned planned immunization services Other host body. Conclusion: On the basis of strengthening policy guidance and supervision, more active policy measures should be taken to encourage social forces to participate in community health services. Promote community-based health services organized by public hospitals to implement public health functions.