基于医疗服务人员诊疗体验对甘肃省儿童眼保健门诊规范化建设的分析

Analysis of standardized construction of children’s eye health outpatients in Gansu Province based on the diagnosis and treatment experience of medical service personnel

目的 了解甘肃省医疗机构儿童眼保健门诊服务状况,分析儿童眼保健门诊建设规范及服务运行存在问题,为促进甘肃省儿童眼保健门诊规范化建设提供科学依据。方法 于2022年8月至12月,采用分层随机抽取甘肃省内各级医院眼科门诊及眼保健医疗人员,收集所在机构儿童眼保健门诊相关定量及定性资料,采用SPSS26.0软件对调查资料进行统计描述与分析。结果 来自108所医院的眼科医疗人员有效回答问卷195份,有效问卷回收率为91.98%。已开展儿童眼保健工作的机构占30.77%,占84.20%的调查对象有建设儿童眼保健门诊的意愿。不同医院类别学历、岗位类别比例比较,差异有统计学意义(P<0.05)。不同医院类别参与开展儿童眼病筛查、建立儿童眼健康档案比例比较,差异有统计学意义(P<0.05)。不同医院类别、类型设备使用得分比较,差异有统计学意义(P<0.05)。不同医院类别启动资金不足得分比较,差异有统计学意义(P<0.05)。结论 甘肃省医疗机构设置儿童眼保健门诊率低、现有服务能力参差不齐,总体处于低水平运转状态,规范化建设具有必要性和紧迫性。

Objective To understand the status of children’s eye health outpatient service in medical institutions in Gansu province,to analyze the construction norms and service operation problems of children’s eye health outpatient service,and provide scientific basis for promoting the standardized construction of children’s eye health outpatient service in Gansu province.Methods From August to December 2022,the ophthalmic clinics and eye health medical personnel of hospitals at all levels in Gansu province were randomly selected by different layers to collect quantitative and qualitative data about children’s eye health outpatient in their institutions.The survey data were statistically described and analyzed by SPSS 26.0 software.Results A total of 195 questionnaires were effectively answered by ophthalmological medical staff from 108 hospitals,and the effective questionnaire recovery rate was 91.98%.The institutions that had carried out the work of children’s eye health outpatient accounted for 30.77%,and 84.20%of the respondents have the intention to build children’s eye health outpatient.There was statistical significance in the proportion of academic qualifications and job categories in different hospitals(P<0.05).The proportion of different hospital categories participating in screening children’s eye diseases and establishing children’s eye health records was compared,and the differences were statistically significant(P<0.05).There was statistical significance in the scores of equipment use in different hospital categories and types(P<0.05).There was statistical significance in the score of start-up capital deficiency in different hospitals(P<0.05).Conclusion The outpatient rate of children’s eye health outpatient in medical institutions in Gansu Province is low,the existing service capacity is uneven,and the overall operation is at a low level.The standardized construction is necessary and urgent.