江西省市级麻风病防治机构服务能力的调查分析

Investigation of Health Service Capability of Municipal Leprosy Prevention Institutions in Jiangxi Province

目的了解江西省市级麻风病防治机构服务能力的提升情况,为今后健全和完善市级麻风病防治机构服务能力提供科学依据。方法采用普查的方法进行调查。同时对2010年江西省3所地级市麻风病防治机构采用自制的江西省市级麻风病防治机构卫生服务能力建设工程终期调查表进行调查。用描述性统计指标对2010年江西省市级麻风病防治机构服务能力情况进行分析,并与2007年的数据进行比较。结果 2010年3所江西省市级麻风病防治机构的房屋建筑、业务用房平均面积分别为3 904.00、3 644.00m2,较2007年增加了1.41%、0.51%。2010年3所江西省市级麻风病防治机构的平均设备装备台数、万元以上设备台数、50～100万元以上设备台数均有所增加,基本设备配置率由2007年的75.00%上升为2010年的87.50%。2010年平均收容病人总数为11.50人,比2007年减少了40.50人;2010年平均现症病人数为10人,比2007年现症病人数减少了33.33人;平均新发病人数由2007年的9.67人降为2010年的0人;平均复发病人数也由2007年的2.67人降为2010年的0人;平均病人死亡数、其他减少病人数、联合化疗的规则人数也均呈现出下降的趋势。2007年平均现症和愈后人员中Ⅱ级畸残人数、现症和愈后人员中不能生活自理人数由58.33人、32.33人上升为2010年的88.00人、47.50人;开展麻风病健康教育次数由2007年的21.33次上升到2010年的42.50次。结论江西省市级麻风病防治机构的基础设施情况得到改善,设备配置率有所增加,服务能力有一定的提升,但麻风病的防治任务仍较艰巨。

Objective To explore the health service capability of municipal leprosy prevention institutions in Jiangxi province and to provide a scientific basis for improving and perfecting their health service capability.Methods The health service capability of 3 municipal leprosy prevention institutions in Jiangxi province in 2010 was investigated by general survey and self-designed health service capacity building project questionnaire.The health service capability of municipal leprosy prevention institutions in 2010 was analyzed using descriptive statistical indicators,and was compared with the baseline data in 2007.Results The average housing structure area was 3 904.00 m2 in 2010,with an increase of 1.41% compared with 2007.The average business space area was 3 644.00 m2 in 2010,with an increase of 0.51% compared with 2007.The number of equipments,the number of equipments worth ten thousand yuan or more and the number of equipments worth 0.5-1 million yuan all increased compared with 2007.The collocation rate of equipments increased from 75.00% in 2007 to 87.50% in 2010.The average number of lazars admitted to municipal leprosy prevention institutions was 11.50 in 2010,with a decrease of 40.50 compared with 2007.The average number of lazars was 10 at the end of 2010,with a decreased of 33.33 compared with 2007.The average number of new cases decreased from 9.67 in 2007 to 0 in 2010.The average number of relapsed patients decreased from 2.67 in 2007 to 0 in 2010.The number of deaths from leprosy,the number of deaths from other reasons and the number of chemotherapy patients all showed the downward trend.The number of grade Ⅱ deformities increased from 58.33 in 2007 to 88.00 in 2010.The number of patients who could not take care of themselves increased from 32.33 in 2007 to 47.50 in 2010.The number of leprosy health education increased from 21.33 in 2007 and to 42.50 in 2010.Conclusion The collocation rate of equipments and health service capability has been improved in municipal leprosy institutions in Jiangxi province.But the prevention and treatment of leprosy is still an arduous task.