基层卫生院孕产期保健网络化层级全覆盖管理实施现状及对策研究——以重庆市巫溪县为例

Research on Implementation Status and Strategy of Healthcare Network Layer Full Coverage Management in the Primary Health Center during the Pregnancy——Taking Wuxi County in Chongqing as an Example

目的探讨基层卫生院孕产期保健网络化层级全覆盖管理实施现状调查分析及对策研究。方法运用资料回顾分析法,依据重庆市巫溪县2014—2017年度妇幼保健工作项目中孕产期保健全覆盖管理实施情况的调查结果,对全县孕产期保健管理质量进行综合评价并提出建议和对策。结果 2014—2017年度全县孕产期保健管理资料显示,孕产妇建册率、产检率、产访率、住院分娩率、系统管理率、高危产妇管理及住院分娩率呈逐年上升。高危孕产妇死亡率、围产儿死亡率明显下降。孕产期保健管理人力资源和财政投入力度逐年加大。结论实施孕产期保健网络化层级全覆盖管理模式,显著提升了重庆巫溪县孕产期保健管理水平,全面推进了全县妇幼保健工作质量。

Objective To study the implementation status and strategy of healthcare network layer full coverage management in the primary health center during the pregnancy. Methods The healthcare management quality in the whole county during the pregnancy was comprehensively evaluated according to the investigation results of healthcare full coverage during the pregnancy in the maternal and infant healthcare work from 2014 to 2017 in Wuxi in Chongqing, and the healthcare management quality in the whole county during the pregnancy was comprehensively evaluated, and the suggestions and strategies were put forwards. Results The healthcare management data in the whole county during the pregnancy from 2014 to2017 showed that the booklet creation rate, prenatal rate, visit rate, hospitalization delivery rate, system management rate,management of high-risk delivery women and delivery rate of pregnancy women increased gradually, and the death rates of pregnancy women and perinatal infants obviously decreased, and the healthcare management humanistic resources and financial input force during the pregnancy increased gradually. Conclusion The implementation of healthcare network layer full coverage during the pregnancy can obviously improve the healthcare management level in Wuxi in Chongqing during the pregnancy, and comprehensively promote the maternal and infant healthcare work quality.