| Objective:TO learn about the service ability level comprehensively and objectively, to evaluate the health service ability construction achievements of urban CHS centers in Jiangxi province, and to provide the theoretical basis or strategy for the public health administrative department making the corresponding policy.Methods:Use the census method to collect the materials of all the urban CHS centers in Jiangxi province, including baseline data and eventually period data of urban CHS centers. Describe the comparative index of two investigations, using Weighted Rank Sum Radio (WRSR) method to evaluate the ability changes comprehensive of urban CHS centers in Jiangxi province.Results:1. The number of people was 5.00 million and 4.00 million respectively for each center service 2007and 20102. The staff number of per center for 2007 and 2010 was 37.20 and 36.37 respectively. The Number of practitioners and Traditional Chinese medicine for each center rose form 5.44 to 7.44. The rates of undergraduate and post-secondary education were rising. The rates were 17.42% and 32.24% in 2010 respectively. The rates of intermediate and senior titles were rising. The rates were 6.88% and 29.07% in 2010 respectively. The ratio of physicians and nurses was declined and the ratio was 1:0.88 in 2010.3. The source of building houses was still mainly offered by the government in the past three years, the rate was 29.85% in 2010. The rate of renting and Enterprises paid provided had declined by 8.82%, but the rate of enterprises and free provided had rising by 8.72% in three years.4. Compared with 2007, the equipment configuration had distinctly improved in three years. The number of medical device, the total value of medical equipment and the number of medical device that valued million per center had rose by 8.75 units, 424,300 yuan and 1.51 units in three years.5. The number of inpatients for per center had declined by 398.88 in three years. The establishment rate of health records had rising by 13.80%. The rate of center that carried out family planning services and health education had changed little, were increased by 2.29% and declined 0.76% respectively. The rate of five vaccines immunized for 7 years old children had declined 2.99% in three years.6. The total annual income and total expenditure per center had increased by 398,200 yuan and 4,500 yuan respectively in three years. The financial assistance and business income for each person had increased by 2,700 yuan and 160,000 yuan respectively in three years.7. The rate of management system implementation had steadily increased by 0.41% in three years.8. Comparative the analysis results, the evaluation results of the municipalities and the ratio of the districts constituent of various agencies, we can see the results were basically consistently. The improve situation that performance best was jian, follwed by yitang, and the lastest was shangrao.Conclusion:1. Since the implementation of Health Services capacity-building project in Jiangxi Provincial, the level of health services of urban CHS centers had a certain ability increased in three years. It was mainly performance on:the education of the staff had a transfer of signs high level of education, the training situation of staff had been enhanced quickly. The rate of Unified channels of purchasing drugs had increased. The device configuration had been enhanced and improved. The rate of financial had assistance increased.2. Since the implementation of Health Services capacity-building project in Jiangxi Provincial, the level of health services of urban CHS centers had a certain shortcomings in three years. The main problems performance on:the total number of staff was slightly lower than the national level. The ratio of physicians and nurses was unreasonable, mainly was lack of nurses mid-level nurses, so needed continue to intensify efforts to improve human resource structure. There was still a small part of centers that's buildings did not meet the requirements. There was still a small part of the center which still unable to carry out health education and family planning guidance function. The rate of financial assistance centers had not reached 100.00%, and the financial assistance per person was different from every city.3. The evaluation index system and evaluation method can evaluate the centers at city level and each center at the same time. This reflects the evaluation index system and evaluation method are practical, operational, marketing and comparability. There are some reference value for evaluate the CHS in Jiangxi province in the future, and for Government to formulate regional health planning, rational distribution of health resources, health of the scientific decision-making. |
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