出生缺陷干预资源整合利用的理论与实效研究

Study on theory and actual effect of resource integration and utilization of birth defect intervention

目的:分析与探寻机构改革和新医改下构建卫生计生资源整合预防出生缺陷的绩效机制体系的思路和依据,提出目前急需降低出生缺陷发生风险可操作的干预策略,为政府部门出台预防出生缺陷等政策提供决策循证。方法:以出生缺陷干预资源整合利用关键技术为例,研究出生缺陷干预资源开发综合利用关键技术扩散机制、实施效果的科学评估体系,分析浙江省示范区卫生计生资源整合利用技术的成功经验及其实际效果。结果:目标人群出生缺陷发生率降低,婴儿、儿童死亡率降低,预防出生缺陷的卫生计生资源采纳率增高。结论:出生缺陷干预资源整合利用关键技术,有利于提高卫生计生工作的质量和绩效,减少出生缺陷儿发生、出生,避免或减轻致残、减少死亡率,提高出生人口素质和人民健康水平,实现多方共享共赢局面,为进一步贯彻落实《国务院机构改革和职能转变方案》和新一轮医改等重大决策提供参考。

Objective： To analyze and explore the thought and basis of constructing performance system of preventing birth defects based on health resources integration mechanism under organization reform and new medical reform, put forward intervention strategies to re- duce the risk of birth defects, and provide a reference for the governments to make decisions to preventing birth defects. Methods： Taking birth defect intervention resource integration and utilization of key technology as an example, birth defect intervention resources development, comprehensive utilization of key technology diffusion mechanism, and scientific evaluation system of the implementation effect were re- searched, the successful experience and the actual effect of health planning and resource integration and utilization of technology in demon- stration zone in Zhejiang Province was analyzed. Results： The incidence rate of birth defects in the target population decreased, the mortali- ties of infants and children decreased, the health resources adoption rate increased. Conclusion： Birth defect intervention using the key technology of integration of resources, is conducive to the improvement of health and family planning work and the quality of performance, the infants with birth defects are reduced, disability is avoided or reduced, mortality is reduced, the quality of the population and the level of people＇s health are improved, a multi-win situation of sharing is achieved, the study provides a reference for further implementing the pro- gram of institutional reform and transformation of government functions of the State Council, a new round of health care reform and other majordecisions.