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山西省托幼机构卫生保健人员及保健室配置现状调查

Investigation on the configuration of health care personnel and health care room configuration in child-care institutions in Shanxi province

  • 摘要: 目的 了解山西省托幼机构卫生保健人员和保健室设施配置现状,为规范托幼机构卫生保健管理提供可靠依据。方法 依据《托儿所幼儿园卫生保健管理办法及工作规范》,对山西全省11个地市196所托幼机构进行现场评估。结果 托幼机构卫生保健人员配备率为82.7%,城市托幼机构保健员配置率远高于乡村。卫生保健人员存在学历低、医学专业化程度低、专职保健医比例不高的问题,公立、城市托幼机构保健人员以专职为主,私立、乡村托幼机构保健人员以兼职为主。保健室的设立率是74.0%,公立机构保健室设立率、保健室设施得分高于私立机构;城区托幼机构保健室设立率、保健室设施得分高于乡村托幼机构。结论 山西省托幼机构卫生保健人员及保健室现状与《托儿所幼儿园卫生保健管理办法》的要求还有一定差距,不同类别托幼机构保健室设立及保健设施得分差异存在显著性,应加强监督管理。

     

    Abstract: Objective To understand the current situation of health care personnel and health care room facilities in child-care institutions in Shanxi Province, and to provide a reliable basis for regulating the health care management.Methods According to the management method and working standard of nursery and kindergarten, 196 child-care institutions among 11 prefectures and cities in the province were evaluated on site.Results The allocation rate of health care personnel in child-care institutions was 82. 7%, and the allocation rate of health care workers in urban nurseries was much higher than that in county and township child-care institutions.Health care personnel had the problems of low educational background, low degree of medical specialization and low proportion of fulltime health care and medical care. Health care personnel of public and urban child-care institutions were mainly full-time, and health care personnel of private, county and township child-care institutions were mainly part-time. The establishment rate of the health care room was 74. 0%, the establishment rate of the public health care room was higher than that of the private ones. The establishment rate of the health care room of the urban child-care institutions was higher than that of the county and township nursery. Conclusion There is a certain distance between the status of health care workers and health care rooms in child-care institutions in Shanxi and the requirements of the measures for the management of health care in child-care institutions. There are significant differences in the establishment of health rooms and the scores of health facilities in different types of child-care institutions, so we should strengthen supervision and management.

     

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