摘要
目的对我国现有的三种妇幼保健机构模式进行比较,总结不同模式的优缺点,探索最适合中国特色,符合妇女儿童健康需求的妇幼保健模式。方法对妇幼保健政策环境、妇幼卫生事业发展状况等相关理论及研究成果进行系统地文献检索和数据查询,采取抽样调查的方法,确立三个省的省市县三级妇幼保健机构作为对比研究对象(在东部、西部和中部各选一个省,每个省选择一个有代表性的市,每个市选一个县)。开展机构调查、服务对象调查及关键人员访谈。分析三种模式机构的职能和运行情况,对不同模式的妇幼保健机构运行效率进行对比,同时对服务对象调查资料进行对比分析。结果中国妇幼保健机构存在三种模式,其运行效益存在差异。结论医疗保健预防相结合的模式最适合妇幼保健事业发展,符合新时期妇女儿童医疗保健需求,有利于妇幼保健机构功能任务的实现,有利于提升妇幼保健机构的社会角色地位.这种模式可以使政府投入最少,运行效益最高,自身发展最好,市场竞争力最强,最受妇女儿童的欢迎。建议政府应该进一步支持推广这种医疗保健预防相结合的妇幼保健机构模式。
Objective To investigate the existing three models of maternal and child health care service institutions, compare their advantages and disadvantages, and select the most suitable form in line with women and ehildreng health demand in China. Methods Systematic literature retrieval and data capture were carried out：including： maternal and child health policy environment, maternal and child health development status and other related theories and research results . Three distinctive grades of maternal and child care service centers in three different provinces from the south, east and middle part of China as contrast research objects were chosen by using sampling survey. Investigation on institutions, service targets and interviews with key personnel were carried out. Function and operation status of the three kinds of the institu- tions were analyzed. The efficiency of the three kinds of maternal and child health care service models and the data of the service targets were comparatively analyzed. Results The benefit of the three kinds of maternal and child health care institutions was diffirent. Conclusions The three-in-one model the combination of： clinical service, health care service and prevention was the most suitable model for the maternal and child health development and in line with the demand of women and children health care. It was beneficial for the realization of their function. It was also beneficial for the improve- ment of their social role. It would be of low investment, high efficiency and strong competitive. It is suggested that government should further support this three-in-one model for the better development of the maternity and child care institutions.
出处
《公共卫生与预防医学》
2012年第6期1-5,共5页
Journal of Public Health and Preventive Medicine
关键词
妇幼保健机构
模式
比较研究
maternal and child care service institution
model
comparative study
