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目的寻找我区城市社区卫生服务发展中存在的关键问题,探索与我区社会经济发展相适应的社区卫生服务可持续发展策略,为进一步完善城市社区卫生服务体系提出适时的性、针对性、可行性建议。方法采用普查与抽样调查相结合的方法对宁夏5市区的所有社区卫生服务机构进行基线调查。结果①宁夏共有83个社区服务站。其中银川46个、吴忠16个、石嘴山7个、中卫6个、固原8个。各城市每个服务站平均覆盖人群分别为18 134.69、13 578.5、10 418.43、16 783.83和11 819.25人。②银川、吴忠、石嘴山、中卫、固原五市社区卫生服务站2007年社区健康档案分别占社区总人数的26.10%、2.62%、3.31%、42.17%、43.97%,高血压管理有效控制率分别为72.97%、41.64%、98.81%、53.93%、82.34%;门诊人次数平均每家49 651.3人次。③银川、吴忠、石嘴山、中卫、固原五市社区卫生服务站工作人员中接受全科医师规范化培训人数分别占临床医师的12.77%、10.27%、3.33%、71.43%、25%,接受全科医师岗位培训人数分别占临床医师的46.38%、39.13%、6.67%、92.86%,52.78%。本、专科学历居多,各占36.84%、39.85%。结论社区卫生服务站设置、人员构成不合理;政府投入不足;社区卫生服务不全面。
Objective To find out the key problems in the development of urban community health services in our district and to explore the strategies of sustainable development of community health services in line with the social and economic development in our district so as to put forward timely, pertinence and practicable measures to further improve the urban community health service system Sexual advice. Methods The method of census and sample survey was used to conduct a baseline survey of all community health service agencies in 5 urban districts of Ningxia. Results ① There are 83 community service stations in Ningxia. Including 46 in Yinchuan, 16 in Wuzhong, 7 in Shizuishan, 6 in Zhongwei and 8 in Guyuan. The average coverage of each service station in each city is 18 134.69, 13 578.5, 10 418.43, 16 783.83 and 11 819.25 respectively. ② The community health service stations of Yinchuan, Wuzhong, Shizuishan, Zhongwei and Guyuan in 2007 accounted for 26.10%, 2.62%, 3.31%, 42.17% and 43.97% of the total community population, respectively. The effective control rates of hypertension management were 72.97%, 41.64%, 98.81%, 53.93% and 82.34% respectively. The average number of outpatients was 49 651.3. ③ The number of standardized training received by GPs in Yinchuan, Wuzhong, Shizuishan, Zhongwei and Guyuan five community health service stations respectively accounted for 12.77%, 10.27%, 3.33%, 71.43% and 25% of the total number of clinicians trained by general practitioners The number of job trainers accounted for 46.38%, 39.13%, 6.67%, 92.86% and 52.78% respectively of the clinicians. The majority of academic degrees, each accounting for 36.84%, 39.85%. Conclusion The establishment of community health service station, irrational staffing, inadequate government investment, incomplete community health service.