2017年四川省妇幼保健机构资源配置现状调查结果分析

Investigation on Resource Allocation of Maternal and Child Health Care Institutions in Sichuan Province in 2017

目的分析2017年四川省妇幼保健机构卫生资源配置现状,为进一步提高资源利用效率和政府妇幼卫生决策提供参考依据。方法通过四川省卫生计生统计数据综合采集与决策支持系统以及四川省妇幼保健机构监测调查收集相关数据,进行描述分析和对比分析。结果四川省共有202家妇幼保健机构,以二级和一级机构最多占65.3%,三级占12.4%,未评级的占22.3%;机构建筑面积达标率为11.4%;编制达标率为5.0%;医护比为1∶1.4;卫生技术人员的学历主要以大专及以下为主(62.1%),专业技术职务以初级为主(57.8%);妇幼保健机构儿科执业(助理)医师占全省儿科执业(助理)医师的27.1%。结论四川省妇幼保健机构存在体系不健全、机构等级较低,基础设施差、床位资源不足,人力资源量少质低,资源分布不平衡等问题。需进一步加大对妇幼保健机构各方面的投入,特别是贫困地区和民族地区的投入,优化人才结构,合理配置设施设备。

Objective To analyze the current situation of health resources allocation of maternal and child health care institutions in Sichuan province in 2017,so as to provide reference basis for further improving the efficiency of resource utilization and Sichuan government’s decision-making on the women and children’s health.Methods This study collected data from the comprehensive collection and decision support system of health and family planning statistics and the monitoring and investigation of maternal and child health care institutions in Sichuan province,and then performed the description analysis and the comparison analysis.Results There were 202 maternal and child health care institutions in Sichuan province,among which the second-level and first-level institutions accounted for 65.3%,the third-level institutions for 12.4%and the unrated institutions for 22.3%.The compliance rate of institutional construction area was 11.4%;the compliance rate of staffing size was 5.0%;the medical-nursing ratio was 1∶1.4;the educational level of health technicians was mainly junior college or below(62.1%),and the professional and technical posts were mainly junior(57.8%);the licensed(assistant)pediatrician in maternal and child health care institutions accounted for 27.1%of the provincial licensed(assistant)pediatrician.Conclusion The system of maternal and child health care in Sichuan province was not that perfect.The low-level institutions,the poor infrastructures,the insufficient bed resources,the low quantity and quality of human resources,and the unbalanced distribution of resources Indicated the necessity to further increase investment in maternal and child health care institutions in all aspects,especially in poor areas and ethnic areas,optimize the talent structure,and rationally allocate facilities and equipment.