长宁区社区儿童保健门诊规范化服务现状调查

Investigation of the current status of standardized service for community child health care clinic in Changning District

目的 :分析长宁区社区儿童保健门诊规范化服务现状,提出改进策略。方法 :于2017年8月采用上海市妇幼保健中心设计的"2015年儿童保健专业门诊用房、设备设施及人员调查问卷"分别对长宁区10家社区卫生服务中心的中心主任及从事儿童保健工作的39名专、兼职工作人员进行问卷调查,整理并分析儿童保健门诊的设备、设施、服务项目及工作人员基本情况。结果 :长宁区10家儿童保健门诊的主要业务用房和设施装备均配备到位;门诊均实行预约制,但80.0%有超量服务现象;周岁营养不良发生率达标的有4家,周岁肥胖发生率达标的有5家,其他服务项目的评估结果均达标。儿童保健工作人员以中、青年居多,但高学历、高职称及专职人员较少。结论 :应进一步稳定和优化儿童保健门诊人员队伍,同时注重人力资源的建设及相关儿童指标检测,为儿童健康成长提供全方位保障。

Objective： To analyze the current status of standardized service of Community Child Health Care Clinic in Changning District to put forward some improvement strategies. Methods： In August of 2017, a questionnaire for professional child health care clinic rooms, facilities and personnel in 2015 designed by Shanghai Maternal and Child Health Care Center was used to investigate the directors and 39 special and part-time stuffs who involved in the child care in 10 community health service centers in Changning District. The basic conditions of the equipment, facilities, service items and staff of the children health care clinics were sorted out and analyzed. Results： In 10 child health care clinics, the main clinic rooms and facilities were equipped in place; the appointment system was carried out in all outpatients, but 80% had the phenomenon of excessive service; there were 4 community health service centers that attained the indicator of less than 3% malnutrition at the age of 1 year old, and there were 5 community health service centers that attained the indicator of the incidence of obesity at the age of 1 year old less than 6%; the evaluation results of other service projects were all up to the standard. The majority of children health care workers were middleaged and young, but the high educational level, the high positional title and the full-time staff were less. Conclusion： The child health care outpatient service team should be further stabilized and optimized; at the same time, attention should be paid to the construction of human resources and the detection of related children＇s indicators so as to provide a comprehensive guarantee for the healthy growth of children.