上海市产科服务现状调查  

Investigation on current situation of obstetrical service in Shanghai city

作　　者：朱丽萍[1] 秦敏[1] 董海燕[1] 何丽萍[1] 金辉[1] 杜莉[1] 

机构地区：[1]上海市妇女保健所同济大学附属第一妇婴保健院,200000

出　　处：《中国妇幼保健》2013年第5期817-819,共3页Maternal and Child Health Care of China

摘　　要：目的:了解全市产科服务现状,为政府出台应对生育高峰的决策提供依据。方法:2012年6月通过统一问卷对全市所有助产机构进行现况调查,结合专题现场调研。结果:全市2012年1～5月分娩90 239人,同比增加14.33%;其中3家三级专科医院分娩20 333人,7家二级专科医院分娩20 429人。全市2012年1～5月产科初诊建卡孕妇94 227人,同比增加26.81%;其中3家三级专科医院建卡18 141人,7家二级专科医院建卡25 908人。全市产科医师1 164人,产科护士2 032人,助产士963人,产科B超医生221人;其中三级专科医院的产科医生186人,产科护士415人,助产士116人,产科B超医生44人。全市产科开放床位3 889张,其中3家三级专科医院的开放产科床位755张,7家二级妇幼保健院的产科床位850张;3家三级专科医院的床位使用率106.09%,四家危重孕产妇救治中心使用率都超过100%。床位与人员比为1∶1.07。结论:产科人员不足,产科服务的供需矛盾集中凸显"结构性"问题,服务对象集中于专科医院和三级医院呈现"重心上移",而使服务资源出现"超负荷"与闲置并存现象,急需以"缓解短期矛盾和解决深层次问题"双管齐下为原则,从供需两方考虑解决对策。Objective： To understand the current situation of obstetrical service in Shanghai city, and provide a basis for decision - making of government to respond to the baby boom. Methods： An inventory survey combined with thematic field investigation were conduc- ted in all the maternal hospitals in Shanghai city by a unified questionnaire in June 2012. Results： A total of 90 239 babies were born from January to May in 2012, increasing by 14. 33%, including 20 333 babies born in three tertiary specialized hospitals and 20 429 babies born in seven second - class specialized hospitals. A total of 94 227 pregnant women registered during the first visit from January to May in 2012, increasing by 26. 81%, including 18 141 pregnant women from three tertiary specialized hospitals and 25 908 pregnant women ：from seven second- class specialized hospitals. There were 1 164 obstetricians, 2 032 obstetrical nursers, 963 midwifes, and 221 obstetrical sonogra- phers in Shanghai city, including 186 obstetricians, 415 obstetrical nursers, 116 midwifes, and 44 obstetrical sonographers in tertiary spe- cialized hospitals. There were 3 g89 hospital beds in obstetrical departments in Shanghai city, including 755 hospital beds in three tertiary specialized hospitals and 850 hospital beds in seven second - class specialized hospitals. The utilization rate of hospital beds in three tertiary specialized hospitals was 106. 09%, while the utilization rates of hospital beds in four emergency aid centers for pregnant women were more than 100%. Bed - staff ratio in Shanghai was 1： 1.07. Conclusion： The number of obstetric staff in Shanghai is insufficient. Contradictions between supply and demand in obstetrical service highlight the ＂structural＂ problem. Pregnant women gather in specialized hospitals and ter- tiary hospitals, coexistent phenomenon of service resource ＂overload＂ and waste appeared. There is an urgent need to alleviate short- term contradictions and resolve deep - seated problems, and it is important to apply the

关 键 词：现状调查 产科服务 资源 

分 类 号：R17[医药卫生—妇幼卫生保健]