摘要
目的探讨PDCA在群体保健管理中运用切实干预区域保健重点难题"降低持续攀升剖宫产率"的实践效果。方法严格按照戴明环管理从"计划-实施-检查-改进"每个步骤做好调研、数据积累、分析并分层次反馈,促进扬州市6个县(市、区)的卫生主管部门、保健管理机构、助产单位各负其责,有计划有步骤完成遏制剖宫产率任务。结果促进自然分娩的社会环境和理念转变显著;全市剖宫产率从68.73%三年下降到44.99%;助产技术人员增加、技术提升;取缔助产机构40个;孕产妇、新生儿死亡率未提高。结论管理技能的掌握并运用于妇幼保健服务将提高我们的群体管理水平和干预效果。降低剖宫产率长远影响获利更多。
Objectives The study aims to describe the tangible results of PDCA on reducing the rate of cesarean delivery in community health care management. Methods Reduce the caesarean delivery rate conducted strictly by the deming circle man- agement in Yangzhou. It will according to the ＂Plan - Do - Check - Action＂ step by step to do research, accumulation, analysis, and hierarchical data feedback. Results The social environment and the concept of natural childbirth has been changed. The rate of cesarean delivery has been fell to 44.99% from 68.73% in just three years. The number and technology of midwives have been improved. About forty midwifery bodies have been banned. Also, the result doesn＇t show an increased risk of Maternal and neonatal mortality. Conclusion If you master and apply management skills, you will improve the management ability and inter- vention effect. It Will benefit from lower cesarean section rate in the future.
出处
《中国卫生产业》
2014年第6期185-187,共3页
China Health Industry
关键词
PDCA
干预
剖宫产率
PDCA
Intervention
Cesarean section rate
