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为了解甘肃省兰州市城关区社区卫生服务现状,针对存在的问题提出建议。本研究采用普查的方法收集2012年城关区全部社区卫生中心(站)社区卫生服务的工作报表资料,并查阅相关文献,分析城关区社区卫生服务机构的基本建设和服务能力状况。研究发现城关区社区卫生服务机构主要存在政府投入力度不足、医务人员文化水平与素质参差不齐、医疗设备配置与利用不合理、基本药物制度推进缓慢等问题,某区卫生服务能力有待提高。当地政府应加大投入力度、加强基层卫生人员培训并建立吸引高素质人才的机制、加快推进基本药物制度且完善基层医疗卫生机构的硬件设施等措施,提高社区卫生服务能力。
In order to understand the status quo of community health service in Chengguan District of Lanzhou City, Gansu Province, suggestions are made on the existing problems. In this study, the method of census was used to collect the data of the work report of all community health centers (stations) in Chengguan District in 2012 and consult the relevant literature to analyze the capital construction and service capabilities of community health service institutions in Chengguan District. The study found that the community health service institutions in Chengguan District mainly include problems such as insufficient government investment, uneven and uneven quality of medical staff, unreasonable allocation and utilization of medical equipment, and slow progress of basic medicine system. The health service capacity of a district needs to be improved. The local government should increase investment, strengthen the training of grass-roots health personnel and establish mechanisms to attract high-quality personnel, speed up the promotion of basic medicine system and improve the hardware facilities of primary health care institutions and other measures to improve community health service capacity.