Situation Analysis And Study Of Fairness Of Village Clinics In One City Of Anhui

Objectives To evaluate the present situation of village clinics n one city of Anhui,understand the level of health service ability and find the basic problems existed in theprocess and construction of the health service. We aim to provide the HealthAdministrative Department basis for building regional health project, allocating healthresources reasonably and making health care decision scientifically through evaluation.Methods Census method was used in the investigation. The questionnaire wasself-designed, which considered six respects, including basic situations, houses,equipment, health personnel, balances of payments, business works. The questionnairewas finally established after the related specialists discussing and the relevantadministrative departments of Provincial Health Board suggesting. The questionnaireswere filled out by those responsible for rural clinics and supervised by superior healthadministrative department. We summarized electronic forms filled in by counties(district) village clinics using the self-designed applications to provided carries on thesummary, and then imported it to spss16.0to do descriptive analysis. The descriptiveanalysis was used to analyze the basic situation of village clinics, including thepersonnel quantity, age, working years, quality, equipment, houses, revenues andexpenditures and other preliminary analysis. The preliminary description of quantitativematerials was primarily mean, maximum and minimum value as the indexes, while thatof qualitative data was mainly rate, composition ratio and frequency as the indicators.Results The results of the survey were as follows.(1) The total number of village clinics was1687in one city of Anhui, averaging1.02village clinics per everyadministrative village.(2) The averaged business room area and total area ofuse(median) were125.00square meters and120.00square meters respectively; Housingwas value at68,000yuan.(3)12kinds of main equipment were examined and thenumber of equipment rate more than80%was8species; each village clinic averagelypossesses(median),the largest number sphygmomanometer is two, there are0electrocardiogram machine, aseptic tank and biological microscope, the rest are1,themax and min difference is obvious; there are0.65blood pressure monitors,0.62mobilephones and0.52beds per thousand population;(4) All data was obtained from the totalof10217health personnel in village clinics, averaging6people per village clinics,whose median age was at44and median working years was20; there were9160healthpeople in all kinds of qualification personnel, village doctors, professionalengineer/assistant doctors, registered nurses accounting for83.85%,11.79%and83.85%respectively. The education background of health staff gave priority to technicalsecondary school, accounting for82.31%; the western medical personnel accounted for70.44%; the quantity of health workers, village doctor, professional engineer/assistantdoctors, and registered nurses was1.34,1.01,0.14,0.02respectively per thousand ruralpopulations and the ratio of doctor to nurse was5. Village clinics health personnelpopulation distribution Gini coefficient G>0.2, for comparison fair the village clinicshealth personnel geographical distribution Gini coefficient G <0.1, absolutely fair.(5)The incomings and outgoings of village clinics had broken even and had somewhatbalance in nearly two years;(6) The proportion of immunization and maternal and childhealth care service that was not carried out in village clinics was35.98%and44.28%respectively.Conclusion The number of village clinics was less in One city of Anhui; medicalequipment was less and service condition remains to be improved; the total quantity and age of health personnel was less and older in village clinics, and the regional differenceexisted obviously; the gender distribution was imbalanced and the ratio of male tofemale was much higher, which should be attracted much attention by the governmenthealth department and inclined to the female village health personnel in the recruitmentto ease the imbalance problem of gender in countryside health personnel; the educationlevel of health personnel was low, so it is essential to strengthen the introduction ofhealth talents, continuing education and training efforts in-service staff; the degree ofpractice was low and the nursing staff lack seriously, which demand strengtheningconstruction of nursing talents team vigorously; health human resource allocationfairness population and geographical fairness did not exceed unfair cordon at arelatively reasonable state, the fairness of the geographical is better than the populationfairness.Although financial subsidies for village clinics are gradually intensified bygovernment yearly, it still appears insufficient. In the future work, the county financedepartments should set out to implement allowance for village clinics and rural doctorsin public health services to ensure the improvement of the rural basic medical andpublic health services.