成都市预防接种门诊设置和服务情况调查  

Cross-sectional Study on the Vaccination Clinic's Setting and Service in Chengdu

作　　者：曾莉[1] 黄蓉娜[1] 戴映雪[1] 李蕾[1] 朱宝[1] 

机构地区：[1]成都市疾病预防控制中心,四川成都610041

出　　处：《现代预防医学》2017年第8期1422-1424,1447,共4页Modern Preventive Medicine

摘　　要：目的了解成都市预防接种门诊设置和服务现状,为规范化门诊建设提供依据。方法采用自行设计的调查表对全市385家预防接种门诊进行问卷调查。结果全市385家预防接种门诊中大部分为每日运转(53.25%)和每周运转(44.93%),周末运转的门诊占28.31%,每月平均运转天数15.27 d。每日接种儿童数小于100人的门诊占85.19%,大于100人的门诊占14.81%,每日平均接种儿童数55人。门诊预防接种人员数平均为5.4人,其中专职人员2.7人,兼职人员2.7人。全市预防接种人员和服务人口的配比为1.18/万,0~6岁儿童和预防接种专职人员的配比为961∶1。最常用的预约通知方式为现场预约、电话通知、群发短信、村医或村干部通知,后三者的通知频率平均为4.33次/月、2.9次/月、1.45次/月。98.70%的门诊建立了宣传制度,宣传频率平均为5次/年。98.44%的门诊建立了流动儿童搜索制度和管理办法,搜索频率平均为10次/年。绝大部分门诊均设立了咨询和投诉电话,2014年17.40%的门诊接到了有关预防接种的投诉。结论预防接种服务的可及性总体较好,但接种门诊的预防接种专职人员数较少,收到预约通知的频率是影响流动儿童接种率的关键因素。Objective To understand the vaccination clinics＂ setting and service situation and provide the foundation of standardizing clinic construction. Methods Self-designed questionnaire was used to conduct the survey among 385 vaccination clinics. Results Most of the 385 elinicsoperated every day （53.25%） and every week （44.93%）. 28.31% of the clinics operated at weekends. The average service time per month was 15.27 days. 85.19% of the clinics served less than 100 children every day, 14.81% served over 100, and the average number of served children was 55. The average number of people inoculated at clinics was 5.4. Among them, 2.7 persons worked full-time, and 2.7 persons worked part-time. The ratio of inoculated people tothe target population was 1.18：10000, and that of full-time persons to children between 0 and 6 years old was 1：961. The most common vaccination notification methods were making an appointment on-the-spot, making a call, texting message, village doctor or village administrator visit. The average notification frequencies per month of the last three methods were 4.33, 2.9 and 1.45 times,respectively. 98.70% of clinics had education system with a frequency of 5 times per year. 98.44% of clinics had established floating children search and management system, and the frequency of searching was 10 times per year. Most clinics had consultation and complaint hotlines. 17.40% of clinics were complained in 2014. Conclusion The inoculation availability was generally good, but the full-time staff of vaccination clinics was not enough. The frequency of receiving vaccination notification was the key factor to influence the inoculation rate among floating children.

关 键 词：预防接种门诊 设置 服务 

分 类 号：R186[医药卫生—流行病学]