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目的研究上海市城郊社区卫生服务机构医疗服务发展现状,对城郊社区医疗服务进行比较研究,为今后社区卫生服务机构医疗服务的发展方向提供依据。方法对上海市郊区金山区12家社区卫生服务机构2006～2009年的医疗服务状况进行调研,对得到的数据进行统计分析并与上海市城区徐汇区和上海市社区卫生服务机构医疗服务平均水平进行比较分析。结果金山区社区卫生服务在总诊疗人次数、住院总床位数这两方面的绝对数要低于上海社区卫生服务平均水平和徐汇区水平,但是这两方面的增长率金山区要高于上海平均水平和徐汇区水平,出诊人次数金山区在绝对值和增长率都高于上海市平均水平和徐汇区水平。结论上海市郊区社区卫生医疗服务要继续保持较快的速度缩小与上海市平均水平距离,同时上海市城区社区卫生服务中心要探索新的发展模式,进一步完善和发展社区医疗服务。
Objective To study the status quo of medical service development in suburban community health service institutions in Shanghai and to compare the community health services in suburban areas so as to provide the basis for the development of community health service institutions in the future. Methods The health service status of 12 community health service agencies in Jinshan district of Shanghai suburb from 2006 to 2009 were investigated. The data were statistically analyzed and compared with the average level of medical services of Shanghai urban community health service agencies in Xuhui district and Shanghai city comparative analysis. Results The absolute number of community health services in Jinshan district was lower than the average level of Shanghai community health service and Xuhui district in the total number of patients and the total number of hospital beds but the growth rate in these two areas was higher than that in Shanghai Level and Xuhui District level, the number of visits Jinshan District in absolute terms and growth rates are higher than the average level in Shanghai and Xuhui District level. Conclusion Community health service in Shanghai suburbs should continue to maintain a relatively fast pace to reduce the average distance from Shanghai. Community health service center in Shanghai should explore new development mode and further improve and develop community health service.