首页|成都市基层医疗卫生机构医疗服务能力相关影响因素分析

成都市基层医疗卫生机构医疗服务能力相关影响因素分析

Influencing factors of medical service capabilities in primary health care institutions, Chengdu

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目的 分析影响成都市基层医疗卫生机构服务能力的相关因素,为成都市基层医疗卫生机构服务能力建设提供参考建议.方法 采用分层整群抽样的方法收集数据,使用EpiData3.1和SPSS21.0进行数据统计、单因素回归分析与多重线性回归分析.结果 单因素分析中,9项内容对体现服务能力的两个指标的影响均有统计学意义.多元线性回归分析中,卫生技术人员数、财政补助数以及人员经费支出数为影响诊疗人次数的正相关因素;卫生技术人员数、人员经费支出数、业务用房面积以及设备数是基本医疗服务项目开展数的正向影响因素,圈层为负向影响因素.结论 建设基层人力资源队伍,适当提高人员经费支出;合理加强业务用房建设,合理配置医用设备;发挥政府主导,加大财政补助力度.
Objective To analyze the relevant factors that affect the service capabilities of primary health care institutions in Chengdu, and to provide reference suggestions for improving their medical service capabilities. Methods A stratified cluster sampling method was used to collect data.EpiData3.1 and SPSS21.0 were used for data description, single factor regression analysis and multiple linear regression analysis. Results In the single-factor analysis, 9 items had statistically significant effects on the two indicators that reflected service capabilities.In the multivariate linear regression analysis, the number of health technical personnel, financial subsidies and personnel expenditures had a positive correlation with the number of visits. The number of health technical personnel, the number of personnel expenditure, the area of business accommodation and the number of equipment were positive influencing factors for the number of basic medical service projects, while the circle of location was a negative influencing factor. Conclusion It is necessary to build grass-roots human resources team, appropriately increase personnel expenditures, strengthen the construction of business buildings, rationally allocate medical equipment, give play to government leadership and increase financial subsidies.

Primary health care institutionsMedical service capabilitiesRelevant factors

马爱军、王橙、张蕾、窦丰满、屈伟、朱嘉琳、刘毅

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四川大学华西公共卫生学院(华西第四医院),四川 成都 610041

四川大学华西医院医院管理研究所/四川华西医院资产管理有限公司,四川 成都 610041

成都市医学信息研究所,四川 成都 610091

基层医疗卫生机构 医疗服务能力 相关因素

国家社会科学基金四川省卫生和计划生育委员会重点项目成都市科技局创新环境优化工程项目

17BRK00916ZD0222015-RK00-00143-2F

2018

现代预防医学
中华预防医学会 四川大学华西公共卫生学院

现代预防医学

CSTPCD北大核心
影响因子:1.285
ISSN:1003-8507
年,卷(期):2018.45(9)
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