三省部分地区儿童基本公共卫生服务实施现状分析

目的 调查目前我国儿童基本公共卫生服务的实施情况,为进一步调整儿童基本公共卫生服务未来的方向提供线索。方法 在我国东、中、西部共抽取8个县区下的22个社区卫生服务机构进行现场调查,并对收集上来的数据和资料进行分析。结果 三样本市的儿童建档率等9个指标差异均有统计学意义;8个样本区县部分效果指标差异有统计学意义;样本机构儿保人员的服务能力在儿童疾病筛查和儿童中医药服务方面较为欠缺;多因素回归结果显示年龄、文化程度和从事该工作年限是儿保人员服务能力的影响因素。结论 我国儿童基本公共卫生服务经过近几年的不断努力和发展在日趋成熟和完善。今后应进一步提高儿保人员的服务能力,以及政府等相关部门的积极参与和配合。

Implementation of basic public health services for children in three provinces

Objectives To understand the implementation of basic public health services for children in China and to provide clues for further adjustment in the future. Methods The 8 counties including 22 community from east,middle and west parts of China,from which health service institutions were selected and employed to conduct field investigation.Study data were collected and arranged by us to perform statistical analysis. Results Statistical significant differences were detected among 3 cities in terms of 9 implement indicators.The differences of some implement effect indicators were also significant among 8 sample counties.The service levels of staffs in children disease screening and children Chinese medicine services were relatively low.Multivariate regression analysis showed that age,educational level and years of working were factors that affecting the service ability of these staffs. Conclusions Although the basic public health service level for children in China is increasing in these years,the service level is still relatively low.In addition to improve child health personnel service ability,relevant departments participation and cooperation are also required.