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目的:结合机构能力建设和医疗体制改革探讨县区级妇幼保健机构定位与发展。方法:对芜湖市7所县区级妇幼保健机构运营情况进行调查,结合机构能力建设材料进行分析。结果:县区级妇幼保健机构尤其县级机构面临困境,财政投入不足、人员素质偏低、基础建设不足的状况,工作开展不平衡,随着机构能力建设与“降消”项目的开展,县区级妇幼保健机构硬件设施正逐步改善,然而公共卫生均等化的新形势下,县区级保健机构定位不清,重自身业务,轻基层指导的局面没有根本改变。结论:县区级保健机构要结合机构能力建设的契机,争取各级政府重视,立足本职,以提高辖区整体妇幼保健服务水平为己任,逐步将基本妇幼保健服务项目下沉,在全面、深入的帮助基层发展保健工作的基础上,兼顾发展资本,拓展适宜新技术,是目前县区级妇幼保健机构应把握的发展方向。
OBJECTIVE: To explore the positioning and development of MCH institutions at the county level in light of institutional capacity building and medical system reform. Methods: To investigate the operation status of MCH institutions in 7 counties in Wuhu City, and to analyze the data of institutional capacity building. Results: County-level MCH institutions, especially county-level institutions, faced difficulties, inadequate financial input, low quality of personnel and inadequate infrastructure. Work was unbalanced. With the institutional capacity building and the project of “reducing consumption” The hardware facilities of MCH institutions at the county level are gradually improving. However, under the new situation of equalization of public health, the orientation of county-level health institutions is not clear, and their own business and guidance at the grass-roots level have not been fundamentally changed. Conclusion: County-level health institutions should take the opportunity of institutional capacity-building and strive for the attention of all levels of government, based on their own duties, to improve the overall MCH service level as its own responsibility, and gradually subsidence of basic MCH services in a comprehensive and in-depth To help grass-roots development of health care work, taking into account the development of capital, to expand appropriate new technologies, is currently the county-level MCH institutions should grasp the development direction.