Research On The Health Resources Allocation Of Health Resources In Six Impoverished County Village In Xinjiang

Objective: to further understand the allocation of health resources in part of apoverty county village health room of Xinjiang and its present use, to improve theutilization of the resources, improve village health room environment, to improve itsservice quality and level, so as to improve the health of the villagers, to offer healthmanagement organization relevant health policies and strategies, and to provide basicresource for the eastern area targeted aid assistance, to offer essential theoretical basis topromote the village health room infrastructure and building capacity. Methods: bystratified random sampling method, investigated from6counties were randomly selectedfrom36poor counties of Xinjiang in the376village clinics, health resource utilization,the quantitative data collected from2005to2011who reported the wealth, the relevantdata, qualitative data collected from54village health room relevant responsible personinterview and annual work summary. Results: the survey of a total of376village healthroom, has completed the standardization of village health room86; business village healthroom housing area of the average compliance rate was71.06%, the housing constructionarea reach national standard of200square meters village health room accounted for8.61%,also has the observation room, room, laboratory of immunology, health education planaccounted for18.76%per thousand rural population; village health room staff number is0.05, per thousand rural population as1.32licensed assistant doctors, registered nurses perthousand agricultural population is1.09; the gender ratio of male and female1.75:1; age toage below35years old accounted for most of57.89%degree in secondary education;higher proportion54.82%; professional structure to village doctors accounted for71.39%of the total number of employees accounted for only2.74%, practicing physicians,physician assistants practicing number is1.49%; six years training area, county, townshipmedical institutions with an average annual growth rate were20.69%,25.13%,39.43%; tothe main content of college, general; village health room revenue and expenditure from2005to2011the overall showed a growth trend, the average growth rate of respectively21.89%,24.44%; total income distribution in2011are as follows: Personnel Subsidy income accounted for40%, a higher level of income subsidies accounted for27.49%, thedrug income accounted for22.41%, accounting for10%of the total medical income; inpersonnel expenditure accounted for61.24%, the drug expenditure accounted for38.36%,other expenditure accounted for0.40%; basic medical and health services show visits,visits person-time, referral visits from2005to2011the overall show growth trend, theaverage growth rate of respectively9.63%,6.27%,22.80%*; public health to providedisplay report suspected infectious cases, postpartum visit number, five seedlingsinoculated passengers, had established the health files numbers were6.73%,34.18%,16.73%,44.94%, to carry out health education times overall declining trend, the averagegrowth rate drop24.30%; equipment inspection equipment configuration, use rate was thehighest rate were75.65%,65.43%, the auxiliary equipment are the low respectively21.89%,39.22%. Conclusion: with the national and regional policy support and capitalinvestment, building equipment and other infrastructure construction has been added andupdated in impoverished counties and villages in Xinjiang health room, but the number ofvillage health room is not enough, and still lack of the health staffs short of professionalquality. Phenomenon of low utilization rate of equipment still exists,which is one of themost important reasons that restrict health service of village health room to perform itsduties.We should enlarge all levels of government investment, realize reasonableallocation of health resource and village health room in poverty county, pay attention tothe training of technical personnel, focus on how to keep health and technical personneland to solve their salary and pension problems, so as to consolidate the basic function andbasic status of perfect village health room, which provides safe and effective, convenientand affordable basic medical and health services to the farmers and herdsmen.