【摘要】 [目的]通过分析2000～2005年中山市东凤镇开展农村社区卫生服务所取得经济效益和社会效益,探索农村开展社区卫生服务并实施镇村一体化管理模式的效果。[方法]应用自身前后对比法,分析2000～2005年间东凤镇社区卫生服务机构经济效益和社会效益情况,同时与相近规模医院的经济效益和社会效益进行类比分析。[结果]从2000～2005年,东凤镇社区卫生服务中心与各站门诊量、年业务收入和人均年收入均显著增加(P﹤0.05)。与中山市规模相近5家镇区卫生院医疗费用分别相比,每门诊人均费用相对较低。居民满意度逐年提高,2005年达到历史最高91.00%。[结论]中山市东凤镇开展农村社区卫生服务取得显著成效,为经济发达地区农村探索和实践社区卫生提供了良好的参考模式。更多还原

【Abstract】 [Objective] By the analysis of the economic benefit and social benefit of community health service from 2000 to 2005 in countryside of Zhongshan to explore the effect of integrated management model in rural health.[Methods] The methods of comparing and based-medicine decision-making were used to analyze the benefit of health service.[Results] From 2000 to 2005,the outpatients were increased,and the wage of employee,too.The health expenditure was lower in the Dongfeng community health service center than in other centers.In 2005,the satisfaction rate of patients was 91%,higher than in other years.[Conclusion] The goals of community health care are completed successfully.The references for rural integrated management model are provided for the rich areas in our country.更多还原