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为进一步了解医改给山东省乡镇卫生院带来的变化,通过对医改前后山东省乡镇卫生院的机构设置、人力资源、物力资源、财力资源和业务量情况等进行比较分析发现,医改后山东省乡镇卫生院布局更加合理,服务数量有所增加,服务效率得到提高,但乡镇卫生院卫生人力数量和质量仍有待增加和提高,农村居民就医流向不合理现象仍较为严重。建议通过进一步整合农村地区卫生资源,增加农村地区卫生人力数量,提高卫生人力质量,以提高乡镇卫生院资源利用效率,扭转农村居民就医流向不合理的现象。
In order to further understand the changes brought about by the medical reform in township hospitals in Shandong Province, a comparative analysis of the institutional settings, human resources, material resources, financial resources and business conditions of township hospitals in Shandong Province before and after the medical reform shows that after the medical reform in Shandong Province The layout of township hospitals is more reasonable, the number of services is increased, and the service efficiency is improved. However, the quantity and quality of health workers in township hospitals need to be increased and improved, and the flow of medical treatment to rural residents is still unreasonable. It is suggested to improve the efficiency of resource utilization in township health centers and to reverse the unreasonable flow of medical treatment to rural residents by further integrating the health resources in rural areas, increasing the number of health workers in rural areas and improving the quality of health workers.