北京市区县级妇幼保健机构临床服务现状分析

An investigation of clinical service situation of district and county levels of MCH institutions in Beijing

目的 通过动态监测辖区妇幼保健机构的资源与运营情况,评估区县妇幼保健机构的服务现状及发展潜力.方法 应用〈全国妇幼卫生机构管理信息网络报告系统〉平台进行网络直报,并导出数据进行统计分析.结果 北京市区县妇幼保健机构平均年门急诊总数为16.13万人次,妇产科门诊占门诊总人次的42.68%.平均每家住院服务机构实有床位93.5张,产科床位占39.37%.病床使用率平均为86.76%,其中城区为70.26%,近郊为91.51%,远郊为84.84%.近3年门急诊总人次和占用总床日数均呈增长趋势,近郊和远郊环比增长速度明显快于城区.结论 妇幼保健机构的临床服务能力近年逐渐提高,但不同地区间妇幼保健机构的发展极不平衡.

Objective To monitor resources and operations of MCH institutions under jurisdiction of Beijing city dynamically, and evaluate their health service situation and development potential. Methods Data were extracted from ＂National Management Information Web-based Reporting System of Women and Children Health＂, and were analyzed by using SPSS software. Results The annual average number of out-patient and emergency was 161.3 thousand for each district or county level MCH institution, of which, the patients in outpatient department of gynecology and obstetrics accounted for 42.68% of the total out-patient number. Each institution owned 93.5 beds in their in-patient department, of which, the beds in department of obstetrics accounted for 39.37% of the total in-patient bed. The average rate of bed utilization was 86.76% , of which, the bed utilization rate in urban, suburb and exurban areas of Beijing city were 70.26%, 91.51% and 84.84% respectively. Both the total number of patients in departments of outpatient and emergency, bed being occupied days presented an increasing trend in recent three years and ones in both suburb and exurban areas of Beijing city was faster than those in the urban areas. Conclusion The service capabilities of district and county level MCH institutions has been gradually increased in recent years. But the developments of different MCH institutions are imbalanced.