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中国初级卫生保健:2021,35(4):35-39
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柳州市基层医疗卫生机构儿童保健服务能力调查
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中文摘要: 目的:了解柳州市基层医疗卫生机构儿童保健服务能力现状,为相关部门制定政策提供参考依据。 方法:采用普查的方式调查柳州市123家基层医疗卫生机构的辖区基本情况、人员及设施设备投入和服务开展情况。结果:123家基层医疗卫生机构中,每万常住人口拥有基层医疗卫生机构儿童保健医生0.32名、注册护士0.25名,每平方公里儿童保健医生0.007 0名、注册护士0.005 5名。39.84%的机构无执业(助理)医师,32.52%的机构近5年有儿童保健人员到上级医院进修。儿童保健门诊用房面积达到自治区要求的机构不足40%;视力检查、听力筛查、心理行为发育评估和膳食营养分析工具配置率分别为89.43%、36.59%、22.76%和9.76%。开展的7项儿童保健服务中,心理行为发育测验(24.39%)、耳及听力保健服务(74.80%)开展比例低,其他5项均超过90%。城乡机构间儿童保健服务人员、设施设备投入和服务开展情况存在差异,贫困县更严峻。结论:柳州市基层医疗卫生机构儿童保健服务能力与国家标准相比,还存在一定差距。政府有必要合理配置医疗资源,加强儿童保健人员的培养,规范儿童保健门诊建设,全面提高基层医疗卫生机构儿童保健服务能力。
Abstract:OBJECTIVE To investigate the capacity of child health service in primary health care institutions in Liuzhou. METHODS Census were conducted in 123 primary health care institutions,the status of child health service personnel,facilities and equipment,services in primary health care institutions were investigated. RESULTS In whole 123 primary health care institutions,there were 0.32 child health doctors and 0.25 registered nurses serviced for 10 000 permanent residents. Calculated by the service area,0.007 0 child health doctors and 0.005 5 registered nurses per square kilometer. 39.84% of the institutions had no child health doctors,32.52% of the institutions had child health care staff members had participated in professional training in the past five years. Less than 40% of the child health room area meets the requirements of Guangxi standard for child health care. The proportion of institutions equipped with visual examination,hearing screening,psychological and behavioral development assessment and dietary nutrition analysis tools were 89.43%,36.59%,22.76% and 9.76% respectively. Psychological and behavioral development test (24.39%),ear and hearing health services (74.80%) were carried out in a low proportion,and the other 5 child health services were all exceeded 90%.There were differences between urban and rural institutions in child health service personnel,facilities and equipment investment and services,especially in poor counties. CONCLUSION Compared with the national standard,the level of children health service capabilities provided by primary health care institutions in Liuzhou is not optimistic. The government should increase the rational distribution of medical resources,scale-up the numbers of child health workers,and standardize the construction of child health clinics,so as to improve child health service capacity.
文章编号:3202010115     中图分类号:R175    文献标志码:
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