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目的分析2013-2015年新疆维吾尔自治区基本公共卫生服务项目实施的现状,找出项目实施过程中存在的问题并提出对策建议,为制定基本公共卫生服务项目管理政策提供依据。方法通过对2013-2015年基本公共卫生服务监测数据的整理,分析基本公共卫生服务项目实施现况,比较不同疆域服务对象基本公共卫生服务利用的均衡性和公平性,具体指标包括复合增长率(GAGR)、基尼系数和泰尔指数。结果基本公共卫生服务项目实施现状基本达到国家标准,各别服务项目存在区域间不均衡和城乡不公平现象。结论基本公共卫生服务项目工作应严格按照国家标准进行,强化项目管理,加强分工协作;明确公共卫生任务,制定合理工作目标;落实服务规范,注重服务效果;强化绩效考核,建立奖惩机制。
Objective To analyze the status quo of the implementation of basic public health services in Xinjiang Uygur Autonomous Region from 2013 to 2015, find out the problems existing in the implementation of the project, and put forward the countermeasures and suggestions to provide the basis for the formulation of basic public health service management policies. Methods According to the compilation of basic public health service monitoring data from 2013 to 2015, the status quo of basic public health service projects was analyzed, and the balance and fairness of basic public health service utilization among different regions were compared. The specific indicators include the compound growth rate GAGR), Gini coefficient and Theil index. Results The status quo of basic public health service projects basically met the national standards. There were imbalanced regional differences and unfair urban and rural services among various service projects. Conclusion The work of basic public health service should be carried out in strict accordance with national standards. Project management should be strengthened and division of labor should be strengthened. Public health tasks should be clarified and reasonable work targets should be formulated. Service standards should be implemented and service effectiveness be strengthened. Performance evaluation should be strengthened and reward and punishment mechanisms should be established.