我省新生儿疾病筛查工作管理模式研究

新生儿疾病筛查是预防残疾、改善人口生存状态的一个基本手段.浙江省新生儿疾病筛查工作管理模式主要是:省卫生厅主管全省新生儿疾病筛查的监督与管理;成立省新生儿疾病筛查管理中心,负责全省新生儿的实验检测、治疗、随访等工作;设立"各地市县新生儿疾病筛查管理分中心",负责辖区内新生儿疾病筛查的管理.其管理自1999年启动以来,取得了可喜成果,筛查率从1999年的6.11%上升至2007年的94.55%.新生儿疾病筛查具体做法是争取政府与社会支持,寻求强有力的专业支撑,以妇幼保健三级网络为构架发展筛查网等.为进一步加强新生儿疾病筛查工作,还应广泛开展科普宣传、争取各种经济支持、扩大筛查种和建立特殊营养品和药品物流中心.

Study of the Administrative Approach of Newborns Screening in Zhejiang Province

Newborns screening is a fundamental approach to prevent disability from occurrence and improve survival conditions of the population.The administrative approach adopted in the province is decided by the Provincial Health Bureau,which is responsible for the supervision and administration of newborns screening,establishing and operating the Provincial Newborns Screening Administration Center,taking charge of the lab testing,treatment and follow-up visits for newborns screening,and establishing and operating the Newborns Screening Administration Center for localities in the province.Since 1999 when the present approach came into being,newborns screening rate has rocketed from 6.11% in 1999 to 94.55% in 2007.The practices in newborns screening include securing supports and funding from the government and communities,secure powerful professional support,and develop the screening network based on the tertiary network for women and children healthcare.To achieve the goals of enhanced newborns screening,scientific popularization and financial support are expected in the future in an effort to expand the screening coverage of diseases,and establish the logistic center for special nutrients and drugs.