避孕药具不良反应监测工作调研情况及改善对策思考

Investigation on the monitoring of adverse reactions of contraceptives and reflection on improvement measures

目的:了解西部某省避孕药具不良反应监测点的工作运行现状,针对性地提出改善对策,为完善和提升避孕药具不良反应监测水平提供科学依据。方法:通过访谈、调查表和核查资料数据等方法进行实地调研。结果:本次调研共涉及该省的11家单位的60余位省、市、县(区)及乡镇(街道)的相关管理者及技术骨干。该监测点着重强化随访服务和医疗信息档案管理。监测报告存在数量减少、漏报、及时性滞后、不完整、不规范、误报及关联性分析不准确等方面不足。结论:应进一步完善并延伸基层避孕药具不良反应监测工作机制,建立科学的工作考核模式和质量控制制度,加强相关人员培训和宣传教育。

Objective:To understand the status quo of the monitoring site of adverse reactions of contraception in a western province,and to put forward the targeted improvement measures,so as to provide scientific evidence for improving the monitoring level of adverse reactions of contraception.Method:Field surveys through interviews,questionnaires,and verification of medical document were conducted on contraceptives adverse reactions surveillance site.Results:This survey involved more than 60 relevant leaders and technical backbones from provinces,cities,counties/districts,and towns/sub-districts of 11 government departments.The monitoring site focuses on strengthening follow-up services and medical information file management.Deficiencies in monitoring reports were found such as the decrease in quantity,underreporting,timeliness lag,incompleteness,irregularity,misreporting,and correlation analysis errors.Conclusion:It is necessary to improve the working mechanism,to establish a scientific assessment and quality control system,and to strengthen the training and propaganda for contraceptives adverse reactions surveillance.