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目的对山东省高校校医院的卫生资源、运行机制、医务人员基本情况、履行职责及参与社区服务情况等进行系统的调查与分析,从理论层面、实证层面、对策层面提出高校医院的改革与发展的具体思路及建议。方法对山东省32所高校分别进行了问卷调查和实地调研,有针对性的对25所高校校医院院长进行访谈。结果 24所校医院服务人数与医务人员比例≥500∶1;专业人员中级及以下职称占78.4%,以45岁以上为主约占60%;16所校医院有医务人员培训制度占50%;健康教育列入教务教学计划的仅12所,占37.5%;行施卫生监督管理的校医院11所,仅占34.4%;8所校医院被接纳为社区医疗服务中心(站),占25%;21所校医院利润来源主要是药品差价和查体费,占总收入的64%。结论山东省高校医院卫生技术人员数量不足,年龄老化、职称较低;行施卫生监督管理、健康教育的高校医院较少;参与社区卫生服务的较少;利润来源主要是药品差价和体检费,技术性服务收费难以提高等问题,需给予重视。
Objective To systematically investigate and analyze the health resources, operation mechanism, basic medical staff, performance of duties and participation in community service in university hospitals in Shandong Province, and to propose the reform and development of university hospitals from the theoretical, empirical and countermeasures aspects The specific ideas and suggestions. Methods 32 universities in Shandong Province conducted a questionnaire survey and field research respectively, and conducted targeted interviews with dean of 25 university hospitals. Results The ratio of the number of hospital service staff to medical staff was ≥500: 1 in 24 schools, 78.4% of middle and lower professional titles, 60% of those over 45, and 50% of medical staff training in 16 schools. Only 12 of them were enrolled in the teaching and learning programs of health education, accounting for 37.5% of the total; only 11 of the 11 hospitals were under the supervision and management of health and only 34.4% of them were enrolled in health education; 8 of them were admitted as community health service centers (stations), accounting for 25% 21 The main sources of profits of the hospitals in the schools were medicine spreads and examination fees, accounting for 64% of the total income. Conclusion The number of health technicians in college and university hospitals in Shandong Province is not enough, the age is aging, and the titles are lower. There are fewer colleges and universities hospitals that administer health supervision and management and health education. There are less participation in community health services. The main sources of profits are medicine spreads and medical expenses, Technical service charges difficult to raise issues such as the need to give attention.