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目的探讨基本公共卫生项目在基层落实的影响因素。方法利用自行设计的调查问卷,运用质性研究中现象学研究方法,对4组同质人群(县级疾控及卫生行政部门工作人员10人,镇卫生院院长23人,预防接种工作人员103人,村级接种人员110人)进行不记名问卷调查,深入访谈和小组焦点访谈,现场进行录音和笔录,通过分析资料并形成主体。结果 100%的工作人员均提到政府对基本公共卫生服务的重视和支持力度不够;85%的管理人员提出基本公共卫生服务责任主体和管理主体不明确;70%的工作人员认为基本公共卫生服务人员数量和质量不足,待遇偏低;68%的工作人员认为群众对基本公共卫生服务认识不到位。结论政府重视、责任和管理、群众认识、服务能力等是基层基本公共卫生服务的影响因素;加大培训力度、增加人员数量、规范服务、增加经费支持、开展宣传教育等是提高基层基本公共卫生服务的重要手段。
Objective To explore the influencing factors of the implementation of basic public health programs at grassroots level. Methods By using self-designed questionnaire and phenomenological research methods in qualitative research, we conducted a survey on four groups of homogeneous people (10 county-level CDC and health administrative departments, 23 dean’s dean, vaccination staff 103, village-level vaccination staff 110) conducted anonymous questionnaire survey, in-depth interviews and group focus interviews, live recording and transcripts, through the analysis of information and the formation of the main. Results 100% of the staff mentioned that the government did not pay enough attention to and support the basic public health services. 85% of the managers said that the responsibility and management of the basic public health service were not clear. 70% of the staff considered the basic public health service The number and quality of the staff are inadequate and the treatment is low; 68% of the staff think that the masses do not know enough about basic public health services. Conclusion The emphasis of the government, responsibility and management, awareness of the masses and service ability are all the influencing factors of basic public health services at the grassroots level. Increasing the training efforts, increasing the number of staff, standardizing services, increasing financial support and promoting publicity and education are all important measures to improve the basic public health An important means of service.