北京流动人口妇幼保健现况研究  

Study on Health Care Status of Women's and Child Migrants in Beijing

作　　者：安琳[1] 高燕秋[1] 郭春晖[2] 段平[1] 康楚云[1] 

机构地区：[1]北京大学公共卫生学院妇女与儿童青少年卫生学系,北京100083 [2]北京市海淀区卫生监督所,北京100000

出　　处：《中国初级卫生保健》2007年第1期47-50,共4页Chinese Primary Health Care

摘　　要：目的了解北京流动人口妇女儿童对医疗保健服务的利用,以及流入城市的相关部门对流动人口的管理和提供服务的现状。方法采用定性和定量方法收集资料,应用SPSS统计软件对数据进行描述性统计和统计推断。结果被调查的539名育龄妇女,平均年龄29.6岁,90.9%已婚,其孕期早检率为43.7%、5次及以上产前检查率为37.6%,选择回户籍地分娩的妇女住院分娩率(67.5%)高于留在北京分娩的妇女的住院分娩率(37.6%)。初中及以上文化水平妇女的住院分娩率(63.8%)高于初中以下者的住院分娩率(46.4%)。定性调查发现,流入地医疗保健机构、公安、街道等部门的人员和经费是按户籍人口进行配置的,因此这些部门在对流动人口进行管理和服务时,面临人员和经费严重不足的问题。提供妇幼保健的医疗单位的现有服务模式、收费标准等影响流动人口妇女孕期保健服务的利用。结论流动人口妇女孕产期医疗保健服务利用率低下。建议政府在为医疗保健部门人员经费配置时考虑流动人口数量;另外,提供妇幼保健服务的医疗保健机构需加强多部门合作,改变现有服务模式、提供适宜流动人口的医疗保健服务。OBJECTIVE To understand the utilization of health care of women and child Migrants and to explore how to manage and serve them on health care in Beijing, METHODS A questionnaire survey and qualitative interviews were carried out in the study with descriptive statistics. RESULTS Investigated 539 women migrants were 29.6 years old on an average and most of these women （90.9%） were married. Proportion of early antenatal examination was 43.7% for these married women. Proportion of the married women who received no less than 5 antenatal examinations reached 37,6%. The results also Showed that hospital delivery rate was 6%5% for the women migrants delivering ＂in hometown, more than the women migrants delivering in Beijing （37.6%） . Hospital delivery rate was 63.8% for women migrants who received more than primary school education （46.4%） ,. more than those were illiterate or received only primary school education. The qualitative study revealed that the migrants did not receive adequate maternal and child health care. Again the results indicated that there were lack of health care staff, public security personnel and community staff on management and services of the migrants. Also financial support was not enough to manage and serve for the migrants. CONCLUSIONS Existing maternal and child health service system was not well approached to the surveyed women＇s and child immigrants in Beijing. The study suggests the health staff and financial should be admeasured to meet immigrants＇ need and internal migrant departments such as hospital provided maternal and child health care, police station, family planning association and community need to work together for improving migrants＇ maternal and child health.

关 键 词：流动人口 妇幼保健 保健服务 

分 类 号：R172[医药卫生—妇幼卫生保健]