高级检索

深圳市罗湖区基层儿童保健服务能力现状分析

Analysis of capability of grassroots children’s health services in Luohu District,Shenzhen

  • 摘要: 目的 了解深圳市罗湖区社区儿童保健服务能力,提高辖区儿童健康水平,为卫生行政部门制定相关政策提供参考依据。方法 提取2015年12月、2020年12月深圳市罗湖区社区健康服务中心(简称社康中心)年终基本公共卫生工作督导数据,分析比较2015、2020年罗湖区社康中心儿童保健服务工作设施设备情况及工作内容现状。结果 与2015年相比,2020年罗湖区社康中心儿童保健室面积配置明显增加(χ2=22.308,P<0.001);规范化门诊设置(包括配置视力筛查仪与独立视力筛查室)的达标率为45.00%,高于2015年的5.25%,差异有统计学意义(χ2=16.139,P<0.001)。2020年罗湖区社康中心儿童保健工作内容较2015年有所增加,增加内容包括发育筛查、高危儿随访与专案管理等;且儿童保健相关指标,如0~6岁儿童健康管理率、0~3岁儿童系统管理率等较2015年均有不同程度的改善或提升(均P<0.05)。结论 深圳市罗湖区社康中心现有设备配置、服务内涵与工作质量均有明显改善,但部分社康中心在设备配置上仍存在欠缺,智能发育筛查与高危儿专案管理等工作的服务质量与服务能力仍有待进一步提升。

     

    Abstract: Objective To understand the capability of community child health service in Luohu District,Shenzhen in order to improve the health of children in the jurisdiction and to provide evidence for health policy making.Methods Data were derived from the annual supervision of basic public health work of Luohu District community health centers in December 2015 and December 2020.The status of child health service facilities and work contents were analyzed and compared.Results Compared with 2015,the area of children’s health care room in Luohu District Community Health Center was significantly increased in 2020(χ2=22.308,P<0.001).The attainment rate of setting up standardized outpatient clinics (including providing vision screening instrument and independent vision screening rooms) in 2020 was higher(45.00%) than that in 2015 (5.25%)(χ2=16.139,P<0.001).Compared with 2015,the working contents of children’s health care in community health centers in 2020 were increased,including developmental screening,follow-up and project management of high-risk children.At the same time,children’s health-related indicators in 2020 such as0-6 years child health management rate,0-3 years child systematic management rate,etc,had been improved compared with 2015(all P<0.05).Conclusion The existing equipment,service content and work quality of community health centers in Luohu District has been improved significantly in the past five years.But the equipment was still insufficient in some commuraty health center.In addtion,the service quality and service capability of intelligent development screening and the project management of high-risk children needs to be further improved.

     

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