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柳州市区基层儿童保健服务能力现状调查

Status servey on the service ability of children's health care in Liuzhou primary health institutes

  • 摘要: 目的 了解柳州市区基层儿童保健服务能力现状,为卫生计生行政部门制定相关政策提供参考依据。方法 采用自制调查表收集社区卫生服务中心和乡镇卫生院儿童保健服务设施设备及人力资源配置情况和服务项目开展情况。结果 共调查市区17所社区卫生服务中心和10所乡镇卫生院,30名儿童保健工作人员参与调查,均是女性,年龄21~53岁,平均年龄(35.4±7.83)岁,平均工作年限为(4.64.6±4.48)年,以低年限(≤5年)为主(73.3%);学历以大专为主(60.0%),无副高及以上职称人员,中级占23.3%,4人(13.3%)暂无职称;所学专业以临床医学为主(53.3%),其次是护理学(30.0%)。9所(33.3%)机构儿童保健用房总面积未达自治区要求;分别有14.7%、22.2%、33.3%、22.2%和37.0%的机构未开展高危儿随访、视力保健、口腔保健、听力保健和心理行为发育测验项目。结论 柳州市区基层医疗卫生机构儿童保健服务能力有待提高,建议加强儿保人员业务培训,增加人员和设备投入,保障基层儿童保健服务内容与质量。

     

    Abstract: Objective To investigate the services ability of children's health care in primary health institutes of Liuzhou.Methods The basic station of staffs, facilities and equipment were surveyed by a self-designed questionnaire.Results A total of 27 primary health institutes in Liuzhou and 30 staff for child health care enrolled in this study. All staff were females, aged 21 to 53 years and the average age was 35. 4 (7. 83. The average working years of these staff was (4. 64. 6 ± 4. 48) years. Most of them (73. 3%) worked less than 5 years. The education background of child health workers was mainly junior college (60. 0%). The professional qualifications of all respondents were main primary title (50. 0%). Nobody had senior professional. The proportion of health workers with middle professional qualification was 23. 3%. Four professional workers had no professional qulification (13. 3%). The mainly major of them was clinical medicine (53. 3%), followed by nursing (30. 0%) and prevention medicine (10. 0%). The total areas of child health care in nine institutes (33. 3%) didn't reach the requirement of the Guangxi job specification of child health care (trial). 14. 7%, 22. 2%, 33. 3%, 22. 2% and 37. 0% of institute didn't implement high-risk infants follow-up, vision health care, oral health care, hearing health care or mental behavioral developmental assessment.Conclusions It is necessary to improve the service ability of children's health care in in primary health institutes of Liuzhou. In order to ensure the quality of the services, it is necessary to strengthen the professional skills training, increase the number of child health workers, and the financial and infrastructure equipment inputs.

     

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