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目的分析海淀区高校社区卫生服务中心管理及运行现状,提出进一步完善和发展高校社区卫生服务的政策建议。方法以海淀区18所高校社区卫生服务中心为研究对象,采用文献法、问卷调查法和访谈法收集资料,对数据进行描述性分析。结果高校社区卫生服务中心以学生和老师为主要服务对象占72.5%;研究生及以上学历占52.8%,副高级及以上职称占28.9%;全科医师占87.1%,社区护士占47.6%,公共卫生医师占91.8%,均高于北京市水平;财政及上级补助收入占45.4%;双向转诊服务高于北京市水平;均执行国家基本用药目录和北京市增补目录且零差率销售,最高达400种。结论高校社区卫生服务中心表现出鲜明的“三高”特点:一是在人员配备方面明显体现出高学历、高职称特点;二是在人员结构上呈现全科医师、社区护士和公卫医师高比例配比特点;三是来自高校和政府的财政补助收入较高。
Objective To analyze the current situation of the management and operation of community health service centers in colleges and universities in Haidian District and to put forward the policy suggestions to further improve and develop the community health service in colleges and universities. Methods Taking the community health service centers of 18 colleges and universities in Haidian District as the research object, the author collected the data by means of literature, questionnaire and interviews to describe the data descriptively. Results The community health service centers in colleges and universities took 72.5% of students and teachers as the main service targets, 52.8% of them had postgraduate education or above, 28.9% of associate senior titles or above, 87.1% of general practitioners, 47.6% of community nurses, and public health Doctors accounted for 91.8%, higher than the level of Beijing; financial and higher subsidies accounted for 45.4%; two-way referral service is higher than the level of Beijing; both the implementation of the national essential drugs directory and Beijing Supplementary Directory and zero-rate sales, up to 400 species. Conclusion The community health service centers in colleges and universities show distinctive features of “three highs”: first, they clearly reflect the characteristics of highly educated and high vocational titles in terms of staffing; second, they present general practitioners, community nurses and public health officials in the personnel structure The proportion of doctors with a high proportion of features; third is higher financial subsidies from colleges and universities and government revenue.