成都市城乡基层医疗卫生机构孕产妇健康管理调查

Investigative Analysis of the Present Situation on Health Management of Pregnant Women in Community Health Service Centre and Health Clinics in Towns and Townships of Chengdu

目的:了解成都市社区卫生服务中心和乡镇卫生院开展孕产妇健康管理情况,并分析其影响因素。方法:采用多阶段分层抽样方式。分层采用市政府按照经济发展状况划分的3个圈层,在每个圈层分别选取2个区县(共6个),在第1圈层的2个区中分别抽取2个社区卫生服务中心作为调查对象,第2、第3圈层的4个区县各抽取1所社区卫生服务中心和2所乡镇卫生院作为调查对象。调查采取查阅资料的方式进行,资料来源于成都市2010年城乡基本公共卫生均等化调研资料之孕产妇健康管理部分。结果:社区卫生服务中心的妇保人员数量(专职、折算)明显多于乡镇卫生院,差异有统计学意义(P<0.05);开展孕情收集、督促产检、产前检查、产后访视、助产工作的社区卫生服务中心比例要低于乡镇卫生院的比例,但差异没有统计学意义(P>0.05)。社区卫生服务中心及乡镇卫生院的登记本产后访视率及产前随访率都显著高于2家机构的实际电话复核数据,差异有统计学意义(P<0.05)。结论:社区卫生服务中心及乡镇卫生院妇保人员应转变观念,做好产前随访及产后访视,促进孕产妇健康管理工作。

Objective：To understand the present situation of health management of pregnant women in community health service centre and health clinics of towns and townships in Chengdu City. Methods ： The data was from the Urban and rural basic public health quality research data about health management of pregnant women. While the actual data was extracted from one community health service centre and two health clinics of towns and townships through the stratified sampling method in the three different economic development status of counties in Chengdu. Results ： The quantity of maternal and child health care personnel in community health service centre was much more than that in health clinics of towns and townships; and the difference was significant（P 〈 0.05）. The ratio of work about status collection of pregnant women, antenatal examination, postpartum housecall in community health service centre was lower than those in health clinics of towns and townships, but the difference was no significant （ P 〉 0. 05 ）. The ratio about antenatal examination and postpartum housecall of community health service centre and health clinics of towns and townships was much higher in data than those of actual data ; and the difference was significant （ P 〈 0.05 ）. Conclusion ： The maternal and child health care personnel should change ideas and complete the work of antenatal examination, postpartum housecall in order to improve the health management of pregnant women in community health service centre and health clinics of towns and townships.