摘要 目的 了解广州市村卫生室开展健康教育服务情况及影响因素，为提高服务水平提供依据。方法 采用普查法调查广州市所有村卫生室2013年开展健康教育服务情况。结果 广州市村卫生室的经营属性以村集体所属为主，占72.0%；以配备1个医务人员为主，占41.3%；以服务3000人及以上人口为主，占43.1%；开展过基本公共卫生服务的卫生室比例为88.2%；11.8%的村卫生室所属的医务人员掌握了最基本的健康教育技能；2013年出版宣传栏次数、开展讲座次数、发放资料种类达标比例分别为83.7%、15.5%、27.3%；Logistic分析显示，影响村卫生室出版宣传栏期数达标的因素有卫生室是否承担基本公共卫生服务、卫生室是否拥有宣传栏、医务人员是否接受过健康教育培训、医务人员数量、卫生室的经营属性等5项；各因素均未能纳入卫生室开展讲座次数达标影响因素的Logistic回归分析模型；影响卫生室发放资料种类达标的因素有卫生室是否承担基本公共卫生服务、医务人员是否掌握知信行理论、医务人员是否接受过健康教育培训、服务人口情况等4项。结论 广州市村卫生室开展健康教育服务达标比例较低；广州市镇村卫生服务一体化管理进程有待加强；理顺管理机制，加强人员培训，有利于提高村卫生室健康教育服务工作；建议根据实际情况，探索村卫生室开展健康教育服务模式。
关键词 村卫生室 健康教育 影响因素
现阶段，广州市农村地区健康教育服务主要由区、镇级卫生机构提供。但是农村地域广阔，服务人群众多，而区、镇级人力资源不足，因此，农村地区健康教育服务相对于城市地区健康教育服务可及性较差，造成城乡之间健康教育服务不均等化。村卫生室是农村地区健康教育服务最基层的责任机构，根据《广州市镇卫生院和村卫生室绩效考核实施方案（试行）》、《关于印发广东省镇村两级卫生机构基本公共卫生服务项目职责分工（试行）的通知》（粤卫办[2015]1号）等文件的要求，村卫生室需要承担提供健康教育资料、设置及更换宣传栏、协助卫生院实施公众健康咨询活动、举办健康知识讲座、开展个体化健康教育等工作。为了了解广州市农村卫生室健康教育服务是否达到《广州市镇卫生院和村卫生室绩效考核实施方案（试行）》的标准，广州市健康教育所在2014年8-12月开展了广州市农村卫生室健康教育服务情况调查。
【Abstract】 Objective To understand the services of health education among village clinics of Guangzhou City and its influencing factors, in order to provide proofs of strategies for improving the services of health education among village clinics.Methods Using the general survey, a questionnaire was used to investigate the services of health education services among all village clinics of Guangzhou City, and the influencing factors were analyzed by Logistic.Results The manage property was mostly village collective which accounted for 72.0%；having one medical personnel was in the main with 41.3%；86.6% of village clinics had provide basic public health services；11.8% of village clinics medical personnel of which mastered the basic skills of health education；the rate of reaching the standard of the number of published publicity column、health education lessons、publicity material are 83.7%、15.5%、27.3%；In Logistic regression，had provide basic public health services，having Publicity column , Whether the medical personnel received health education training , the number of the medical personnel , the manage property of village clinics influencing factors of the rate of reaching the standard of the number of published publicity column；had provide basic public health services，Whether the medical personnel received health education training ,mastered the KABP Model，service population influencing factors of the rate of reaching the standard of the number of publicity material.
Conclusion the rate of reaching the standard of health education services
are low；strength of county-rural integration of health services management；suggest according to the actual situation, to explore health
education service mode.
【Key words】Village clinics；Health educations；Influence factors.
1 对象与方法
1.1 对象
广州市7个有农村的行政区辖内1056家村卫生室及1880名医务人员进行调查。
1.2 抽样方法
采用普查法对广州市所有村卫生室及其医务人员进行调查。
1.3 调查方法
