Research On Current Situation And Countermeasures Of Implementing The Functions Of Township Hospitals In North Xinjiang

Objective: Through investigating the basic situation, the provision of basic medicalservice and public health service of25sample township hospitals, and the management ofthe village health rooms belonging to these25township hospitals in North Xinjiang, thispaper aims to evaluate the functional implementation status of these township hospitals,and tries to analyze the existing problems and the factors that influences the performanceof these organizations, and thereafter put forward some valuable suggestions. Methods:Quantitative and qualitative research is combined to conduct questionnaire surveys andinterviews; RSR (Rank Sum Ratio) is used to elaborate the functional implementationstatus of township hospitals. Results:(1) Basic medical services: in the aspect of diseasediagnosis function, the sample township hospitals are functioning well as the threeconventional checks and basic laboratory tests are concerned; as to the common andfrequently-occurring disease treatment function, the implemental rate of abortion,orthopedic treatment, and appendicitis are not to exceed30%; with regard to the functionof “transfer” service, easy to enter and difficult to transfer for rural health work in thecommon disease in the northern region, without exception, to service development ratewas only8%. Therefore, it is suggested that township hospitals in North Xinjiang are inpoor condition with supporting basic medical service.(2)The public health servicefunction: In the aspect of health condition filing, women and children are filed with arelatively high rate while the rate ranks rather low as the disables and chronic patients areconcerned. In the aspect of health education, the sample township hospitals havecomprehensively carried out some forms of health education, which are found lesssuccessful and limited in effect due to their ignorance of the local people’s demands.; Inthe aspect of immunization, vaccination rate exceed95%in those area, and thevaccination staffs are all qualified with certificates, which is sure to improve the quality and quantity of the service; as regards to children health care and maternal health care, theimplementation of township hospital child health and maternal health care function ispractically good; chronic disease management is in relatively poor condition since themild reaction, weak pain of this kind of disease can be easily ignored by both patientsand medical staffs. In general, the public health service function has been give closeattention, and only a small number of projects still need to be strengthened.(3) Thefunction of management to village health room: The entire25sample township hospitalsefficiently performed their duty of managing the village health rooms within their owndistricts by pushing village heath care integration, providing business management andoffering technology guidance. Conclusion: the main factors affecting the implementationof township hospitals functions include: the human resources, fund and equipments andsupervision and management. Therefore, we must increase financial investment, improvetownship hospital infrastructure gradually, construct the health service "well". Secondly, toactivate health service "source", it is suggested that a set of talents cultivation plan shouldbe established for township hospitals by combining with the actual situation of Xinjiang.Thirdly, strengthen supervision of the township health centers, improve the basic medicalservice and public health service quality, standardize the village health room management,and guarantee the health service "flow". Finally, the government departments aresuggested to conduct proper macro-controls, pay attention to the self-construction abilityand long-term development of township hospitals, leading it to a long self-improving path.