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目的为成都市统筹城乡综合配套改革卫生专项工作提供基线材料。方法采用分层方便抽样法抽取成都市经济发展水平和距中心城区距离不等的三圈7个乡镇/社区卫生机构及6个村卫生站/街道卫生所,进行现场调查与二次研究,采用Epidata或Excel整理分析数据。结果卫生机构利用情况总体较好,年诊疗人次及入院人数稳中有升;病床利用率及医生工作量高于全国平均水平;人均住院/门诊费用远低于全国水平,一圈总体情况好于二三圈。结论坚持以院带村,强化国家及政府对乡院/中心及其村站的补偿机制,有利于改善现阶段乡院/中心及其村站的基本情况。
Objective To provide baseline materials for Chengdu’s comprehensive health reform in urban and rural areas. Methods A stratified convenient sampling method was used to extract seven townships / community health agencies and six village health stations / street clinics in three circles and three levels of economic development in Chengdu and a distance from the center city. Site investigation and secondary study were conducted. Epidata or Excel sorting analysis data. Results The utilization of health institutions was generally good, with a steady increase in the number of clinics and hospitalizations per year; the utilization rate of beds and doctors’ workload were higher than the national average; the per capita hospitalization / outpatient expenses were much lower than the national average; Two or three laps. Conclusion Insisting on using hospital belt villages and strengthening the compensation mechanism for homesteads / centers and their village stations by the state and government help to improve the basic conditions of the township homes / centers and their village stations at this stage.