上海市中小学校卫生保健机构设置情况和人员能力提升需求

  目的  调查上海市中小学校卫生保健机构设置和卫生保健人员配备情况，了解卫生保健人员自身能力提升的需求，为加强学校卫生保健工作水平提供参考。  方法  采用问卷调查的方法，在2020年4—8月对上海市所有中小学校进行普查。问卷内容涵盖卫生保健机构设置、学校卫生保健人员配备情况和卫生保健人员对自身能力提升的需求。运用χ2检验比较不同学段、不同城郊地区学校在卫生保健室设置和人员配备符合率方面的差异。  结果  2020年上海市中小学校(含分部和分校等)共有1 847所，学校卫生保健机构的配备率达100%。全市仅有51.4%的中小学校按在校学生数不低于600∶1的比例配备了学校卫生保健人员，市区学校的人员配备符合率(59.3%)高于郊区学校(47.3%)，差异有统计学意义(χ2=24.27，P < 0.01)。所有学校卫生保健人员都认为目前能接受到的能力提升机会较少，需要卫生机构提供能力提升的指导服务。  结论  上海中小学卫生保健机构配备情况好，但人员空缺较大，且现有人员对自身能力提升的需求非常强烈。

Investigation on the establishment of health care institutions and the need for personnel capacity improvement in primary and secondary schools in Shanghai

  Objective  To investigate the establishment of health care institutions and the staffing primary and secondary school health care in Shanghai, and to understand the capacity building needs of health care personnel.  Methods  A survey was conducted on all primary and secondary schools in Shanghai from April to August in 2020. The content of the questionnaire covers the establishment of health care institutions, the staffing of school health care centers and the capacity building need of health care personnel. Chi-square test was used to compare the difference of the health care institutions setting and staffing by schools and areas.  Results  In 2020, there were 1 847 primary and secondary schools in Shanghai (including branches schools). About 51.4% of primary and secondary schools in Shanghai were equipped with school health care personnel in the ratio of the number of students at least 600∶1, and the staffing compliance rate of urban schools (59.3%) was higher than that of suburban schools (47.3%)(χ2=24.27, P < 0.01). All school health care personnel believed that there are currently few opportunities for capacity buliding services from health facilities.  Conclusion  School health care institutions in Shanghai are well equipped, but the staffing shortage is substantial, with strong need for capacity building.