The Study On The Health Resource Distribution And Operation Conditions Of The Township Hospitals In6Rural Areas

Objective: To understand the health resource distribution and operation conditions of thetownship hospitals in6rural areas, to analyze the influencing factors and key problemsand the reasonable distribution, which in order to provide sufficient suggestions for theXinjiang health management organization to formulate policies and to improve thetownship hospitals service ability. Methods: Stratified random sampling was adapted toselect6improvised counties out of36, and conducted a survey on medical service abilityin46hospitals, meanwhile, interview the chiefs of the local Health Beau, directors andmedical staff the all hospitals. Results:(1)The basic information: the service radius of thetownship hospitals is larger than the central hospitals, the minority takes up82.63%of thetotal population, and the farmers and herdsmen cover82.74%of the total population.(2)The medicine personnel information: the medical personnel takes up82.77%of thetotal numbers, which doesn’t reach the national standard, and the number of medicalpersonnel of per thousand is1.34, which is lower than national number1.38, the staffs’education background mainly is technical secondary degree and junior college degree,which accounts for86.10%of the total number, the junior technical title is76.50%, thepractitioners take up40.04%, registered nurses is38.86%, which are both higher than theXinjiang area, Western areas and national standard, and the number of licensed assistantdoctors is lower than Xinjiang area, Western areas and national standard;(3)The bedsinformation: the46township hospitals don’t reach the standard of00.6beds perthousand local total population and1.2beds per thousand servicing patients. The numberof bed of per thousand is1.54, the usage rate of beds is87.18%, which is higher than theXinjiang standard.(4) The income and expenditure: the expenditure is more than theincome during the year2009to2011, the income mainly are financial aid and theexpenditure mainly cost on the medical service and personnel.(5) The construction of thehospitals: the operarion area is on the rise year by year, and rate of reaching the standard is43.48%.the dilapidated area is20.01%of the professional work area, the rent area increasewith the average growth rate of22.09%.(6) The basic medical service: the total diagnosisand treatment number is350666time-person with the decrease rate of0.97%, the number of improving and cured patient takes up96.12of the total number, the service abilityimproved; the family health service, the two-way referral service and health check-up turnbetter than before.(7) The rate of personal health record is41.13%in the6poor counties,and the times of health education grows at an average rate of76.98%, the increase rate ofprophylactic vaccination is24.59%, the neonatal visit rate is79.53%; the cards rate ofmaternal immunization is90.01%, the usage rate of maternal management system is71.44%, management rate of maternal high-risk care is27.98%, general gynecologicaldiseases screening rate is22.10%; the conduction of the aged health care, chronic diseasemanagement, severe mental illness treatment management and the community-basedRehabilitation are poorer.(8) The equipment information: according to the category of theequipment, the possession rate of emergency applications is54.04%, the usage rate is92.15%, followed with the diagnosis equipment and treatment equipment. According tothe department: the prevention and care equips88.04%, and usage rate is94.87%,andcommon treatment department equips56.25%, with the usage rate of73.29%, thepossession rate of transportation equipment is56.52, with the usage rate of96.97%.(9)The network information: the New Rural Cooperation Medical System covers82.61%inall hospitals, and the central hospitals possess more than normal hospitals.(10) Assets andliabilities information: the proportion of liquid asset of the central hospitals is less than thecapital assets, and the constituent ratios of capital assets is less than the normal hospital,the long-term liability of the normal hospitals is higher than the central hospitals.Conclusion:(1)The township hospital is short of medical staff, and the training programis not enough, which needs long-term training system.(2) The basic public health serviceis poor, and basic health service is poor, which needs to control the drug income and toincrease the personnel service price.(3) The medical equipment hasn’t updated on timeand with low usage, which influence the service, so the government should increase theinvestment.(4) Township health center are in debted state balance,the government shouldincrease financial input, improve the construction needs and improve operation area.