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中文摘要: 摘 要：目的：探究医防融合背景下广州市公立医疗卫生机构履行公共卫生职责情况及其影响因素，为促进公共卫生服务 可及性及均等化提供参考依据。方法：2023年8—9月，在广州市下辖11个行政区选择公立医疗卫生机构发放广东省县域公立 医疗机构履行公共卫生职责情况调查问卷，调查公立医疗卫生机构履行公共卫生职责情况，采用泊松回归模型分析公立医疗卫 生机构履行公共卫生职责的影响因素。结果：在广州市248所公立医疗卫生机构中，整体公共卫生职责履行率为84.88%,公 共卫生科室整体覆盖率为93.95%,基层医疗卫生机构加挂镇(街)疾控中心牌子的挂牌率为91.21%。平均每所机构在岗人数 108人，机构编制数75人，其中公共卫生科室编制数13人，公共卫生科室人员每月平均收入(15436.38±5238.77)元。公立 医疗卫生机构公共卫生职能履行率受行政区域、机构类别、机构编制数、在岗人数、医疗机构人员每月平均收入等因素的影 响。结论：广州市公立医疗卫生机构公共卫生职责基本履行到位，但仍然存在人员配置不足的问题。应当进一步提高政府对 公共卫生工作的重视程度，明晰和强化各级各类医疗机构的公共卫生职责，优化编制资源的科学配置，加强公共卫生人才的 引进与培养，提高公共卫生人员的收入水平，从而全面提升公共卫生服务的供给能力，推动医防融合有效落地。
中文关键词: 关键词：县域公立医疗机构 公共卫生服务 医防融合
Abstract:Abstract: OBJECTIVE Toinvestigate the fulfillment of public health responsibilities by county-level public medical institutions in Guangzhou districts under the context of medical-prevention integration,and to identify influencing factors,thereby providing reference for enhancing accesibility and equity of public health services.METHODS From August to September in 2023,“Questionnaires on the Performance of Public Health Responsibilities by County-Level Public Medical Institutions in Guangdong Province”were distributed to county-level public medical institutions in 11 districts under Guangzhou Municipality.Regression analysis was employed to identify factors influencing public health duty fulfillment.RESULTS Among 248 county-level public medical institutions in Guangzhou,the overall public health duty fulilment rate was 84.88%,with a comprehensive coverage rate of public health departments at 93.95% and a comprehensive signage rate at primary-level institutions at 91.21%.Institutions employed 108 staff members,with 75 authorized positions,including 13 positions allocated to public health departments.The average monthly income of public health department personnel was(15,436.38±5,238.77)yuan.The fulilment rate of public health functions in county-level public medical institutions is influenced by factors such as administrative region,institution type,authorized staffing levels,number of on-duty personnel,and average monthly income of medical staff.CONCLUSION Public health responsibilities in Guangzhou's county-level public hospitals are generally fulfilled,but staffing shortages persist.It is imperative to enhance governmental prioritization of public health,clarify and reinforce public health responsibilities across all medical institutions,optimize scientific allocation of staffing resources,strengthen recruitment and training of public health professionals,and improve compensation levels for public health personnel.These measures will comprehensively elevate public health service capacity and facilitate effective implementation of medical-prevention integration.
keywords: Keywords: county-level public medical institutions public health services medical-prevention integration Guangzhou
文章编号：3202410002 中图分类号：R1 97.3 文献标志码：
基金项目:
| 作者 | 单位 |
| 黄琳，程林 |
| Author Name | Affiliation |
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