女性盆底功能障碍筛查防治机构资源配置及服务现状研究

Study on resources allocation and service status of female pelvic floor dysfunction screening,prevention and treatment institutions

目的探讨省域范围内女性盆底功能障碍(FPFD)筛查防治机构资源配置及业务开展现状,为实现FPFD筛查防治机构的标准化建设和规范化管理提供参考依据。方法采用自行设计的问卷调查表,对山东省17地市FPFD筛查和防治机构进行调查,并作相关数据统计分析。结果截止2015年末,全省共有134所医疗保健机构开展了盆底功能筛查和防治工作,一、二、三级医疗机构分别为7所、86所和41所;综合医院、中医医院和妇幼保健院分别为51所、10所和67所。2014-2015年机构数增加10所,筛查和治疗业务量分别提高27.21%和45.00%。盆底电生理功能诊断等专用设备实际配置率为86.57%;筛查诊断防治一体机构专业人员配置达标率为17.07%。结论省域FPFD筛查防治机构以二级医疗机构为主,妇幼保健院起到重要示范作用。机构业务量增速较快,但专用设备、专业人员配置方面仍存在不足。建议建立FPFD筛查防治机构国家级建设标准、收费标准和绩效评估标准,健全三级医疗预防保健网络,加强科普宣传,促进FPFD筛查防治工作的健康持续发展。

Objective To explore the resource allocation and business development situation of female pelvic floor dysfunction（ FPFD）screening,prevention and treatment institutions,provide reference basis for implementing standardized construction and management of FPFD screening,prevention and treatment institutions. Methods A questionnaire survey was carried out by FPFD screening,prevention and treatment institutions in 17 cities of Shandong province,and the relevant data was statistically analyzed. Results By the end of 2015,134 medical institutions carried out pelvic floor function screening and prevention in Shandong province,the numbers of primary,secondary and tertiary medical institutions were 7,86 and 41,respectively. The numbers of general hospitals,traditional Chinese medicine hospitals and maternal and child health care hospitals were 51,10 and 67,respectively. The number of medical institutions increased by 10 from 2014 to2015,the screening and treatment business increased by 27. 21% and 45. 00%,respectively. The actual configuration rate of electrophysiological diagnosis of pelvic floor function and other special equipment was 86. 57%. The compliance rate of professional staff in screening,diagnosis and prevention institutions was 17. 07%. Conclusion Provincial FPFD screening,prevention and treatment institutions are given priority to secondary medical institutions,maternal and child health care hospitals play important roles. Agency business grows rapidly,but allocations of specialized equipments and professional staff are still insufficient. There are suggestions to establish a national construction standard,charge standard and performance evaluation standard in FPFD screening,prevention and treatment institutions,improve three-level prevention health care network,strengthen science popularization,and promote healthy and continuous development of FPFD screening,prevention and treatment work.