摘要
背景随着“二孩”政策的开放,我国儿童人口数量逐步增加,儿童健康服务需求呈现快速增长态势,但当前我国社区卫生服务中心儿童健康服务能力尚不清晰。目的了解当前我国部分城市社区卫生服务中心儿童健康服务能力的现状。方法2020年4月,采用多阶段分层抽样的方法,在全国抽取了35家社区卫生服务中心及样本中心的全部儿童相关服务人员作为研究对象。采用自制的样本中心调查表及儿童相关医务人员调查问卷以线上调查的形式,调查社区卫生服务中心的基本情况、人员设备设施配置、业务开展情况及儿童健康服务人员知识水平和满意度等。结果本次调研共包含全国的14个城市的35家社区卫生服务中心,样本中心卫生技术人员总数8009人,儿科医生〔执业范围含儿科学的执业(助理)医师〕191人(2.38%),看儿科的全科医生(通过儿科转岗培训并从事儿科诊疗工作)488人(6.09%),儿保医生320人(4.00%);其中儿科医生154人(80.63%)具有本科及以上学历、112人(58.64%)具有中级及以上职称,看儿科的全科医生293人(65.37%)具有本科及以上学历、355人(79.30%)具有中级及以上职,80.00%以上儿保医生具有执业医师证和培训合格证。共计999人接受满意度和知识水平调查,人员的平均满意度为(61.38±9.11)%,平均知识水平测试正确率(50.40±21.93)%。儿科相关诊疗科室面积平均占比不足1%,超过90%的机构配备了8种儿童常见设备,但仍有超过一半机构的儿童常用的诊疗设备配备不足7种;23种儿童常用药品中仅有10种超过50%的机构进行了配备。2019年度机构平均儿童诊疗人次占2.91%,儿童入院人次占1.48%;国家基本公共卫生项目开展率达85%以上;管理数量最多的重点儿童是单纯性肥胖儿童,最少的是先天性髋关节脱位的儿童。结论社区卫生服务中心儿童相关服务人员数量不足,学历及职称较高但理论知识水
Background The implementation of universal two-child policy has brought a significant increase in the number of children in China.The needs of childcare services are increasing rapidly,but the capability of community health centers(CHCs)to provide such services is still unclear.Objective To investigate the capability of CHCs in some cities of China to provide childcare services.Methods In April 2020,by use of multi-stage stratified sampling,we selected 35 CHCs in 14 cities of China,and conducted two online surveys using self-developed questionnaires,one with administrators of the CHCs for investigating the general status,personnel,equipment and facilities allocation,and implementation regarding childcare services,and one with childcare staff of the CHCs for investigating their knowledge regarding childcare services and job satisfaction.Results The survey included 35 community health service centers in 14 cities across the country,and the total number of health technicians in the sample center was 8009.Among the health technicians,191(2.38%)were pediatricians(including licensed physicians and assistant physicians with pediatrics included in their scope of practice),154 of them(80.63%)had a bachelor degree or above,and 112(58.64%)had intermediate or above professional title;488(6.09%)were general practitioners(received post-shift training with pediatrics before being a childcare provider),293 of them(65.37%)had a bachelor degree or above,and 355(79.30%)had intermediate or above professional title;320(4.00%)were pediatric preventive healthcare physicians,and more than 80.00%of them had the national physician license and pediatric training certificate.A total of 999 people accepted the survey of satisfaction and knowledge level.The job satisfaction level of the childcare providers and the accuracy of the pediatric knowledge test performed by them was(61.38±9.11)%,and(50.40±21.93)%on average,respectively.The pediatric consulting room accounted for less than 1%of the total consulting rooms of the CHCs on average.More
作者
王晰
殷涛
杨慧敏
政晓果
李瑞莉
王利红
尹德卢
WANG Xi;YIN Tao;YANG Huimin;ZHENG Xiaoguo;LI Ruili;WANG Lihong;YIN Delu(Department of Health Development,Capital Institute of Pediatrics,Beijing 100010,China)
出处
《中国全科医学》
CAS
北大核心
2021年第28期3571-3577,共7页
Chinese General Practice
基金
北京市医院管理局青年人才培养“青苗计划”项目(QML20161301)。
关键词
社区卫生服务中心
儿童保健服务
社区卫生服务
卫生保健设施
人力和服务
Community health service center
Child health services
Community health services
Health care facilities,manpower and services
