第三方评估对城乡儿童保健服务利用效果的影响

Effects of appraisal of the third-party on children health care service

目的探讨第三方评估作为干预方式对改善城乡儿童保健服务效果的作用。方法利用第三方评估机构,对重庆某区城乡儿童保健服务利用情况进行连续评估,比较2012年与2013年的儿童保健服务效果及需方满意度的变化情况。结果新生儿访视比例、儿童免费疫苗接种比例、儿童体检比例有所上升,其中儿童免费疫苗接种比例差异有统计学意义(P<0.01),新生儿疾病筛查比例、健康档案建立比例、健康教育比例有所下降(P<0.05)。需方满意度变化差异无统计学意义。结论采用第三方评估方式,能够促进基层儿童保健服务的效果,对于加强基本公共卫生服务管理有推动作用。

Objective To evaluate the intervention effects of appraisal of the third-party on children health care serv- ice. Methods It was compare that the urban and rural coverage rate of maternal health care service and degree of satisfac- tion in 2012 and 2013 by continuous regional assessment. The assessment was accomplished by a third party institution. Results This ratio had witnessed a high increase with the newborn visit, children medical and free vaccination. Among them,this ratio of free vaccination was statistically significant. On the other,it had dropped with ratio of neonatal disease screening, health education and filing. Degree of satisfaction had no statistical differences. Conclusions Appraisal of the third party could promote the children health care service. It is imperative to further improve the children health care service system in this respect.