基于儿童常见病的北京市基层儿童健康服务人员能力培训需求调查分析

目的 了解北京市基层常见儿童疾病，探索基于儿童常见病不同岗位儿童健康服务人员相对个性化的能力培训需求，为加强基层儿童健康服务人员培训提供参考。方法 抽取北京市城区、近郊区和远郊区7个样本区的社区卫生服务中心作为样本单位，采用自行设计的调查问卷，由样本中心医疗岗和保健岗儿童健康服务人员自愿匿名在线填写，共成功调查940例。采用Excel进行数据整理，采用SAS 9.1统计学软件进行数据处理。结果 北京市基层常见儿童疾病病种排序前5位的疾病为急性上呼吸道感染、肺炎、腹泻、湿疹、龋齿。针对5种常见儿童疾病，每种疾病有培训需求的人数占比分别为65.11%、40.53%、55.00%、58.72%和31.17%,每种疾病对应的不同培训内容需求总人次数分别为1 113、648、902、1 003和460人次。基层医疗岗和保健岗儿童健康服务人员对上述5种儿童常见疾病的培训需求人次总数分别为1 307人次和2 359人次。结论 北京市不同基层岗位儿童健康服务人员针对不同儿童疾病的培训需求存在差异，应科学设计培训内容，尽可能提高培训的针对性和精准性，满足不同岗位对不同病种的差异化培训需求。

A survey on training needs of basic level children's health service personnel in Beijing based on the common diseases of children

  Objective  To understand the common children's diseases in Beijing and explore the relative personalised ability training needs of children's health service personnel in different positions based on common children's diseases to provide reference for strengthening the training of children's health service personnel at the grassroots level.  Methods  Community health service centres in 7 sample areas of Beijing City were selected as sample units. A self-designed questionnaire was used to fill in the questionnaire voluntarily and anonymously by the medical and health care staff of the sample centres. A total of 940 cases were successfully investigated. Excel was used for data processing and SAS 9.1 statistical software was used for data processing.  Results  The top five diseases in Beijing were acute upper respiratory tract infection, pneumonia, diarrhoea, eczema and caries. According to the five common children's diseases, the number of health personnel with training needs for each disease accounted for 65.11%, 40.53%, 55.00%, 58.72% and 31.17%, respectively. The total number of health personnel with different training contents corresponding to each disease were 1 113, 648, 902, 1 003 and 460, respectively. The total number of training needs for the above-mentioned five common diseases of children by the children's health service personnel of primary medical post and health care post were 1 307 and 2 359, respectively.  Conclusion  There are differences in the training needs of children's health service personnel in different grassroots positions in Beijing. The training contents should be designed scientifically to improve the pertinence and accuracy of the training as much as possible, thereby meeting the different training needs of different positions for varying diseases.