江西省预防接种门诊服务现况调查与分析  

Status quo of vaccination clinic services in Jiangxi Province

作　　者：周荣军[1] 程慧健[2] 谭楚生[2] 张国民[3] 张丽杰 ZHOU Rongjun;CHENG Huijian;TAN Chusheng;ZHANG Guomin;ZHANG Lijie(Guangxi Center for Disease Control and Prevention , Nanning, Guangxi 530028 , China;Jiangxi Center far Disease Control and Prevention , Nanchang, Jiangxi 330001 , China;Chinese Center for Disease Control and Prevention, Beijing 100050, China;Chinese Field Epidemiology Training Program, Beijing 100050, China)

机构地区：[1]广西壮族自治区疾病预防控制中心,广西南宁530028 [2]江西省疾病预防控制中心,江西南昌330001 [3]中国疾病预防控制中心,北京100050 [4]中国现场流行病学培训项目,北京100050

出　　处：《中国农村卫生事业管理》2019年第5期346-351,共6页Chinese Rural Health Service Administration

摘　　要：目的了解2017年江西省预防接种门诊服务现况,为进一步优化门诊建设提供技术支持。方法用分层随机整群抽样法,以市、县和乡镇为层级,按预防接种门诊在各层级的比例进行抽样,被抽中的门诊(包括所在市、县CDC门诊)所有人员作为调查对象,采用自制的调查问卷进行调查,对调查结果进行描述性分析。结果共调查335个门诊,1 523人,男286人、女1 237人,年龄在18~57岁之间,专业、学历和职称分别以护理(62.1%)、大专及以上(68.4%)和初级(69.3%)最多。CDC门诊与乡镇接种单位人员的年龄、专业、学历和职称构成差异无统计学意义;不同地区间以抚州市男性(34.6%)、景德镇市女性(91.1%)、南昌市大专及以上学历(80.3%)、鹰潭市初级及以下职称(84.4%)居多。乡镇接种单位每万人配备工作人员数(0.8±0.6)个和每门诊服务面积(97.1±56)平方公里,均高于CDC门诊(0.6±0.5)个和(5.1±5)平方公里;不同地区门诊平均开放天数为(148±31)^(288±29)天,平均(230±56)天;人均年接种(1 958±692)^(6 716±1 085)剂次,平均(2 863±1 605)剂次;每万人配备工作人员(0.5±0.4)^(1.0±0.7)人,平均(0.8±0.6)人;每门诊需要服务人口(2.5±1.6)^(4.4±3.4)万人,平均(3.2±2.3)万人;服务面积(34.8±12.0)^(97.2±64.0)平方公里,平均(77.3±64.0)平方公里。2017年门诊平均开放天数和人均年接种剂次数均比2016年少,差异有统计学意义(P<0.05)。结论江西省预防接种门诊服务能力得到较大提升,但需对薄弱环节和地区加大建设力度。Objective To explore the status quo of vaccination clinic services in Jiangxi Province in 2017, and to provide technical support for further optimization of outpatient clinic construction. Methods Stratified random cluster sampling method was adopted. The city, county and township were taken as respective levels, and the samples were taken according to the proportion of the vaccination clinic at each level. All the personnel in the selected outpatient clinics(including the CDC clinic in the city or county) were surveyed with a self-made questionnaire and a descriptive analysis was made of the survey results. Results A total of 335 vaccination clinics were investigated, in which 1 523 persons worked, including 286 males and 1 237 females, aged between 18 and 57 years. The most common medical specialty, educational background and professional titles of the personnel were nursing(62.1%), junior college education or above(68.4%) and primary professional title(69.3%). There were no significant differences in age, specialty, educational background and professional title between CDC clinic and township vaccination units. Among different regions, the highest proportions of males, females, junior college education or above and primary professional title or below were found in Fuzhou City(34.6%), Jingdezhen City(91.1%), Nanchang City(80.3%) and Yingtan City(84.4%). The number of staff per 10,000 people and the area of outpatient service per person in township vaccination units were higher than those in CDC clinics [(0.8±0.6) persons vs.(0.6±0.5) persons,(97.1±56) square kilometers vs.(5.1±5) square kilometers]. The number of open days for outpatients was between(148±31) d and(288±29)d with an average of(230±56) d and the per capita annual inoculation was between(1958±692) doses and(6716±1085) doses with an average of(2863±1605) doses. The number of staff per 10,000 people was between(0.5±0.4) persons and(1.0±0.7) persons with an average of(0.8±0.6) persons, the number of population each clinic needed to serve

关 键 词：预防接种 门诊服务 现况 江西省 

分 类 号：R186[医药卫生—流行病学]