Objective To understand current situation of medical service and management in Yong’an Central Township Health Center (YaC) through on-the-spot investigation, in order to provide references for personal employment and essential medicines list implement in township health centers.
Methods Questionnaire and focus interview were carried out, which included the general information, human resources, medical service and management, and the practice of essential medicines list.
Results The hardware equipments of YaC were fine, and the target population had fairly good health and economy status. The ratio of General Practitioner (GP)/ nurse and GP/ pharmacist were all above the national average level. The members with college degree and above accounted for 61.6%, and about 88% staffs were with or below primary profession titles. There was a balance between personnel flow out and in. The drug income accounted for 53.6% of the whole in 2009 and the medical expenses increased compared to 2008. Essential medicines list was put into practice in April 1st of 2010 with no relevant technical documents as correspondence.
Conclusion YaC, as a good representative of fairly well-off rural Township Health Center in western China, needs to cope with challenges of irrational personnel structure, low educational background and professional title of the staff and human resources flow, and requires developing policy and adopting measures step by step. The management of YaC may be influenced by zero-profit price of the essential medicine, and appropriate subsidy and policy support are necessary to maintain current service quality.
Citation： YANG Xiaoyan,SHEN Jiantong,LI Youping,LI Honghao,FANG Rui,YI Jinglin,HAN Jinxiang,ZHOU Xiaojun,LI Sheng,LI Dongqing,LIU Yamin,ZHENG Yong,LI Changjiang,YANG Yinxi. A Status Survey on Yong’an Central Township Health Center in Shuangliu County of Sichuan Province. Chinese Journal of Evidence-Based Medicine, 2010, 10(12): 1375-1380. doi: 10.7507/1672-2531.20100599 Copy