河南省乡镇卫生院及社区卫生服务中心感染性疾病门诊运行情况调查  

Investigation on operation of outpatient department of infectious disease in township hospitals and community health service centers in Henan Province

作　　者：苏佳[1] 王若琳[1] 其木格[1] 

机构地区：[1]河南省疾病预防控制中心传染病预防控制所,郑州450016

出　　处：《郑州大学学报（医学版）》2017年第3期313-317,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：国家科技重大专项2013ZX10004-203-002

摘　　要：目的:了解河南省乡镇卫生院及社区卫生服务中心感染性疾病门诊的运行情况。方法:随机分层抽取河南省90家乡镇卫生院和社区卫生服务中心,采用省级疾控机构人员实地走访、现场查阅资料等方式收集其预检分诊、发热门诊和肠道门诊的建设和运行信息。结果:共调查乡镇卫生院58家,社区卫生服务中心32家。乡镇卫生院和社区卫生服务中心同时设置预检分诊、发热门诊和肠道门诊的比例仅分别为31.03%和43.75%。社区卫生服务中心的预检分诊设置率高于乡镇卫生院(P=0.031),发热门诊和肠道门诊日常消毒工作开展规范率也高于乡镇卫生院(P=0.040、0.030)。结论:无论城乡,基层医疗机构在传染病管理方面的突出问题仍然是重建轻管。Aim： To estimate the operation situation of outpatient department of infectious disease in the township hospitals and community health service centers in Henan Province. Methods： A total of 58 township hospitals and 32 community health service centers were selected by random stratified sampling. The total set rate and operation situation of pre-examination triage,fever outpatient department and intestinal outpatient department were investigated. Results： The total set rate of pre-examination triage,fever outpatient department and intestinal outpatient department for township hospitals and community health service centers were only 31. 03% and 43. 75%. The set rate of pre-examination triage in community health service centers was significantly higher than that in township hospitals（ P = 0. 031）. The standardized rates of daily disinfection work of both fever outpatient department and intestinal outpatient department in community health service centers were significantly higher than those in township hospitals（ P = 0. 040,0. 030）. Conclusion： Regardless of urban and rural areas,grassroots medical institutions in the management of infectious diseases is still a serious problem.

关 键 词：乡镇卫生院 社区卫生服务中心 感染性疾病门诊 预检分诊 河南省 

分 类 号：R183[医药卫生—流行病学]