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目的了解信阳市城乡地区医疗卫生现状及其基本公共卫生服务情况。方法查阅文献、卫生统计年鉴获取信阳农村医疗卫生服务人力资源、新农合及基本公共卫生服务利用现状。结果信阳市每千人口拥有卫生技术人员数4.09人,农村每千人拥有乡村医师数2.5人,学历水平较低;新农合参合人数逐年提高,已达99.50%,基本公共卫生经费人均40元,农村居民健康档案建档率94.51%,孕产妇死亡率8.64/10万,婴儿死亡率2.41‰;乡镇卫生院床位使用率使用率为62.00%,平均住院6d。结论农村医疗卫生人员数量不足、素质较低是目前制约信阳农村基本公共卫生发展的关键因素,政府应着力解决人才问题,通过医疗联合体等多种形式为农村提供高水平人才;同时应合理增加基本公共卫生服务经费,建立有效的绩效考核体系。
Objective To understand the status of medical and health services in urban and rural areas of Xinyang City and its basic public health services. Methods Access to literature, health statistics yearbook access to Xinyang rural medical and health service human resources, NRCMS and the status quo of the utilization of basic public health services. Results In Xinyang City, the number of health technicians per thousand population was 4.09. There were 2.5 rural doctors per thousand people in rural areas, with a low educational level. The number of NCMS participants increased year by year, reaching 99.50%, and the basic public health fund was 40 yuan , Rural residents file rate of 94.51% health records, maternal mortality rate 8.64 / 100,000, the infant mortality rate 2.41 ‰; The utilization rate of bed occupancy rate of township hospitals was 62.00%, the average hospitalization 6d. Conclusions Insufficient rural medical personnel and low quality are the key factors restricting the development of basic public health in rural Xinyang. The government should make efforts to solve the problem of qualified personnel and provide high-level talents to rural areas through various forms such as medical association. At the same time, the government should rationally increase Basic public health service funding, the establishment of an effective performance appraisal system.