深圳市社区卫生服务机构儿童医疗服务利用与分析

Utilization and analysis of health services for children at a community health service center in Shenzhen

利用深圳市牛湖社区健康服务中心2011年社区卫生服务信息资料,对0～6岁儿童在社区卫生服务机构就诊情况进行分析.在社区卫生服务机构就诊的0～6岁儿童占整个服务人群的12.4％；影响0～6岁儿童健康前5位疾病名称依次是：急性上呼吸道感染（58.2％）、急性支气管炎（14.9％）、胃肠炎（5.6％）、外伤（3.3％）和皮炎（3.2％）；由内科、外科、中医专业背景转岗的全科医生提供的儿童基本医疗服务与儿科专业的全科医生提供的服务数量没有明显差别.社区卫生服务机构有能力对社区儿童常见病、多发病进行诊断与处理.

To explore the current status of children receiving primary health services at a community health service center in Shenzhen so as to provide references for the formulation of children health care policies.According to the patient electronic data in 2011,the clinical profiles were analyzed for children aged under 7 years seeking the advice of general practitioners （GPs） at Niuhu Community Health Service Center.Children aged under 7 years accounted for 12.4% of all subjects.The causes of seeing the GPs were as follows：acute upper respiratory.infection（58.2%）,acute bronchitis（14.9%）,gastroenteritis（5.6%）,trauma（3.3%）and dermatitis（3.2%）.And no difference existed in the workload between pediatrists and surgeons,internists or herbalists.The common and frequent community diseases may be diagnosed and managed at a community health service center.