广东省县级妇幼保健机构服务能力评价

An evaluation of service capacity of county-level women and children health institutions in Guangdong province

目的了解广东省区域间县级妇幼保健机构综合能力现状和差异,为制定相关政策提供依据。方法通过2019年广东省妇幼保健机构运营表和妇幼卫生年报资料获取相关指标的数据,分析全省县级妇幼保健机构服务能力。按照行政区划,将广东省划分为珠三角、粤东、粤西和粤北4个区域,采用定量与定性相结合的方法对4个区域的县级妇幼保健机构综合能力进行评价。结果广东省目前共有120家县、区级妇幼保健机构,其中珠三角48家、粤东19家、粤西18家、粤北35家。在硬件资源配置方面,珠三角地区县级妇幼保健机构的每千人口床位数为0.21,比粤东和粤西地区高,而且每机构的业务用房面积、固定资产和万元以上设备台数均比其他三个地区高。在人力资源配置方面,珠三角地区县级妇幼保健机构的每千人口卫技人员数最高,为0.38,且每机构的正副高人员数和硕博士人员数也明显高于其他三个地区。在服务能力方面,珠三角地区县级妇幼保健机构的门急诊人次、出院人次和年活产数分别占全省的74.1%、57.51%和50.38%,珠三角地区县级妇幼保健机构的医学遗传与产前筛查、新生儿疾病筛查、儿童心理卫生、儿童五官保健、高危儿管理和乳腺保健的服务项目开展比例明显高于其他三个地区。结论广东省县级妇幼保健机构发展不平衡,应基于各地区社会发展水平,加强软硬件和人才队伍建设,全面提升服务能力和水平。

Objective To understand the present situation and difference of the comprehensive capacity of county-level women and children health care institutions in Guangdong province,and to provide basis for formulating relevant policies.Methods The data of relevant indicators were obtained from the operation table and annual report of MCH institutions in Guangdong province in 2019,and the service capacity construction of 120 MCH institutions at county and district levels was analyzed.According to administrative divisions,Guangdong Province is divided into four regions:Pearl River Delta,East Guangdong,West Guangdong,and North Guangdong.A combination of quantitative and qualitative methods is used to evaluate the comprehensive capacity of county-level women and children health care institutions in these four regions.Results There are 120 women and children health care institutions at county and district level in Guangdong province,including 48 in Pearl River Delta,19 in East Guangdong,18 in West Guangdong and 35 in North Guangdong.In terms of hardware resource allocation,the number of beds per 1000 population in county-level women and children health institutions in the Pearl River Delta region is 0.21,higher than that in eastern and western Guangdong,and the number of business space,fixed assets and equipment over 10000 yuan per institution are higher than those in the other three regions.In terms of human resources allocation,county-level women and children health care institutions in the Pearl River Delta region has the highest number of health technicians per 1000 population(0.38),and the number of full-time and deputy senior personnel and master and doctor personnel per institution are also significantly higher than those in the other three regions.In terms of service capacity,the outpatient and emergency visits,discharge visits and annual live births of county-level women and children health care institutions in the Pearl River Delta region accounted for 74.1%,57.51%and 50.38%of the province,respectively.The proportion of medical genetic and prenatal screening,neonatal disease screening,children’s mental health,children’s five sense health care,high-risk child management and breast health care in county-level women and children health care institutions in the Pearl River Delta region was significantly higher than that in the other three regions.Conclusion The development of county-level women and children health care institutions in Guangdong province is unbalanced.Based on the social development level of each region,we should strengthen the construction of hardware,software and talent team,to comprehensively improve the service capacity and level.