北京市社区卫生服务中心接诊儿童现状的电话问卷调查  

Research of Children Reception in Community Health Service Centers in Beijing: A Cross-sectional Telephone Questionnaire Study

作　　者：潘子涵[1,2,3] 齐建光[1,2,3] 姚弥 于果[1] 刘亚军[5] 

机构地区：[1]北京大学第一医院儿科,北京市100034 [2]北京大学第一医院全科医学教研室,北京市100034 [3]北京大学医学部全科医学系,北京市100191 [4]北京市西城区新街口社区卫生服务中心,100035 [5]北京市社区卫生服务管理中心,100000

出　　处：《中国全科医学》2017年第5期574-578,共5页Chinese General Practice

摘　　要：目的了解北京市社区卫生服务中心接诊儿童的情况及其影响因素,为进一步完善北京市儿童初级医疗卫生保健系统,实现分级诊疗提供参考依据。方法于2015年4月对北京市社区卫生常规监测系统截至2013-12-31登记在册的325家社区卫生服务中心进行调查。采用横断面调查的方法,以电话问卷的方式对北京市社区卫生服务中心是否接诊儿童常见病、接诊儿童的具体情况(包括门诊时间、门诊量、接诊儿童的年龄要求、是否有病房)、接诊医生的类别等进行调查。结果 325家社区卫生服务中心未接听电话79家(24.3%),接听电话246家(75.7%),其中210家(85.4%)全程答题,有效应答率为64.6%(210/325)。210家北京市社区卫生服务中心位于城区79家(37.6%),郊区131家(62.4%);接诊儿童123家(58.6%),不接诊儿童87家(41.4%);有儿科设置46家(21.9%);有儿科医生36家(17.1%)。城区社区卫生服务中心接诊率为34.2%(27/79),郊区社区卫生服务中心接诊率为73.3%(96/131)。城区和郊区接诊比例比较,差异有统计学意义(χ~2=31.057,P<0.001)。有无儿科设置的社区卫生服务中心接诊比例比较,差异有统计学意义(χ~2=5.713,P=0.017)。有无儿科医生的社区卫生服务中心接诊比例比较,差异无统计学意义(χ~2=1.173,P=0.279)。城区与郊区社区卫生服务中心接诊儿童的时间(17:00以后接诊、周末接诊、24 h接诊)、门诊量(<20人/d)比较,差异均有统计学意义(P<0.05);接诊<6岁儿童、病房设置方面比较,差异无统计学意义(P>0.05)。城区和郊区社区卫生服务中心接诊儿童的医生类别比较,差异有统计学意义(χ~2=30.088,P<0.001)。结论北京市社区卫生服务中心接诊儿童的整体情况欠佳,郊区的社区卫生服务中心接诊儿童的情况明显优于城区。社区卫生服务中心接诊儿童的工作由全科医生和儿科医生共同承担,以全科医生为主。Objective To investigate the current situation of children reception in community health service centers （CHSCs） in Beijing, so as to provide a reference for the further improvement of children＇s primary health care system in Beijing and implementation of hierarchical diagnosis and treatment. Methods The 325 CHSCs registered by the end of December 31st,2013 monitored by the conventional monitoring system of community health in Beijing were enrolled in the study. In April 2015, a cross -sectional telephone questionnaire survey was conducted in the 325 CHSCs which covered the following aspects： whether the CHSCs give treatment to children with common diseases, specific conditions of the children treated in the CHSCs （ visiting time of outpatient, outpatient visits, age requirement, and whether the CHSCs have wards for children ） , types of doctors practicing children reception and so on. Results Of the 325 CHSCs, 79 （24. 3% ） did not answered the telephone for questionnaire survey, 246 （75.7%） answered it, and 210 （85.4%） of them answered all the questions with a response rate of 64. 6% （210/325）. Of the 210 CHSCs, 79 （37.6%） were in the urban area, 131 （62.4%） were in the suburban area; 123 （58.6%） received children, while 87 （41.4%） did not; 46 （21.9%） had set up department of pediatrics; 36 （17.1%） had pediatricians. The rate of children reception was 34.2%, 73.3% in the urban and suburban CHSCs, respectively. The difference in rate of children reception were statistically significant between urban and suburban （ x^2 = 31. 057, P 〈0. 001 ） , and between CHSCs with or without department of pediatrics （ x^2 =5. 713, P =0. 017） , while it was not between CHSCs with or without pediatricians （x^2 = 1. 173, P = 0. 279）. Between the urban and suburban CHSCs, the difference in children reception time （after 17： 00, on weekend, 24 h） showed statistical significance （P 〈0. 05） , that in the number of outpatients （〈20/d） also demonstrated s

关 键 词：社区卫生中心 诊室就医 儿童 问卷调查 北京 

分 类 号：R197.1[医药卫生—卫生事业管理]