基本公共卫生项目对于促进孕产保健服务利用的效果评价  

Effect evaluation of basic public health project in promotion of maternal health care service utilization

作　　者：黄勤瑾 李阳[2] 严萍 关蔚 梁霁[2] 

机构地区：[1]上海市浦东新区妇幼保健所,上海201300 [2]复旦大学公共卫生学院,上海200032

出　　处：《中国妇幼保健》2016年第7期1360-1363,共4页Maternal and Child Health Care of China

基　　金：上海市浦东新区卫生局卫生(计生)科技项目(PW 2013A-59);上海市浦东新区卫生系统学科带头人培养计划资助项目(PWRD 2012-13)

摘　　要：目的 比较基本公共卫生服务项目配套政策实施前后,上海市浦东新区孕产妇保健服务利用的改善程度,提出相应政策建议。方法 采用前后2次横断面回顾性调查的方式,对主要在上海市浦东新区接受孕产保健服务的婴儿母亲进行问卷调查,比较基本孕产保健服务利用率和服务满意度等指标的差异。结果 配套政策实施后,孕产保健服务利用大部分指标有所上升;政策实施前后,非本市户籍孕产妇孕期产前检查率、5次及以上产前检查率、9次及以上产前检查率差异有统计学意义（χ^2=5.10、4.20、5.02,均P〈0.05）;Logistic回归模型分析显示,免费政策实施后,孕期9次及以上产前检查率高于政策实施前（OR=1.445,P〈0.05）;服务利用者对产后访视服务综合满意度及收费方面、服务态度、服务内容、医患交流等4个服务指标满意度均有提高,差异均有统计学意义（t=-5.62、-6.83、-4.38、-5.05、-4.91,均P〈0.01）。结论 基本公共卫生服务减免政策有助于改善孕产保健服务利用率及满意度,对于促进均等化也有一定效果。Objective To compare the improvement of maternal health care service, utilization in Pudong New District of Shanghai before and after implementation of supporting policies of basic public health project, propose appropriate policy recommendations. Methods＇ The mothers of infants receiving maternal health care in Pudong New District of Shanghai were investigated by a questionnaire using before-after cross sectional retrospective survey, the differences of basic maternal health care service utilization rate, service satisfaction and other indexes were compared. Results After the implementation of supporting policies of basic public health project, most of the indicators of maternal health care service utilization increased. Among the migrant pregnant women, there were statistically significant differences in prenatal examination rate, prenatal examination rate for five times or more than five times, and prenatal examination rate for nine times or more than nine times between before and after implementation of supporting policies of basic public health project （X2 = 5.10, 4. 20, 5.02, P〈0. 05 ） . Logistic regression model analysis showed that prenatal examination rate for nine times or more than nine times after implementation of supporting policies of basic public health project was statistically significantly higher than that before implementation of supporting pol- icies of basic public health project （ OR= 1. 445, P〈0. 05 ） . The service satisfaction degrees of comprehensive satisfaction, cost, service attitude, service content, and communication between doctors and patients increased significantly （ t = - 5.62, - 6.83, -4. 38, - 5.05, -4. 91 ,P〈0. 01 ） . Conclusion Basic maternal health care service policy is effective in improving maternal health care service utilization and satisfaction, and it has a certain impact on promotion of maternal health care equity.

关 键 词：基本公共卫生服务项目 孕产保健 效果评价 服务利用 

分 类 号：R173[医药卫生—妇幼卫生保健]