孕妇分娩机构选择及其影响因素分析  

Analysis on the Selection of Delivery Institutions for Pregnant Women and Its Influencing Factors

作　　者：苏玉云 蒋晓敏[2] 张彬[1] 陈磊[2] 刘辉[1] SU Yu-yun;JIANG Xiao-min;ZHANG Bin;CHEN Lei;LIU Hui(Department Medical Service,Maternal and Child Health Care Hospital Affiliated to Anhui Medical University,Hefei,Anhui,230000,China;Department of Obstetrics and Gynecology,Maternal and Child Health Care Hospital Affiliated to Anhui Medical University,Hefei,Anhui,230000,China)

机构地区：[1]安徽医科大学附属妇幼保健院医务处,安徽合肥230000 [2]安徽医科大学附属妇幼保健院妇产科,安徽合肥230000

出　　处：《现代生物医学进展》2020年第11期2168-2173,2178,共7页Progress in Modern Biomedicine

基　　金：安徽省重点研究与开发计划项目(201904a0702008)。

摘　　要：目的:调查孕妇分娩机构选择情况,并对影响分娩机构选择的因素进行分析,为加强分娩机构建设,合理配置助产机构医疗资源提供参考。方法:本研究调查对象均为2019年5月-2019年9月期间在我院办理建档立册的孕产妇,随机抽取420例孕妇进行自制问卷调查,实际发放问卷420份,获得有效问卷为395份。采用EpiData3.1软件建立数据库,统计孕妇基本资料、选择分娩机构考虑因素,多元Logistic回归分析影响选择分娩机构的因素。结果:90%以上的孕妇认为医疗技术水平、仪器设备水平、是否有新生儿科、医院声誉、服务态度、环境比较重要,是选择医疗机构会考虑的因素;大多数孕妇选择三级分娩机构、专科分娩机构进行分娩;经单因素和多因素分析显示,专家门诊、费用、医院级别可能是孕妇选择分娩机构类别的独立影响因素(P<0.05)。结论:孕妇趋向于选择三级、专科分娩机构进行分娩,增强二级和民营助产机构的核心竞争力,有助于合理配置助产机构医疗资源,更好保障母婴安全。Objective:To investigate the selection of delivery institutions for pregnant women and analyze the factors affecting the selection of delivery institutions,so as to provide reference for strengthening the construction of delivery institutions and rational allocation of medical resources in midwifery institutions.Methods:Pregnant women who set up records in our hospital from May 2019 to September 2019 were selected as objects.420 pregnant women were randomly selected for self-made questionnaire survey.420 questionnaires were actually sent out and 395 valid questionnaires were obtained.The database was established by EpiData3.1 software,and the basic data of pregnant women,the factors considered in the selection of delivery institutions were counted,and the factors affecting the selection of delivery institutions were analyzed by multiple Logistic regression analysis.Results:More than 90%of pregnant women think that the level of medical technology,equipment,neonatal paediatrics,hospital reputation,service attitude and environment were the factors that will be considered in choosing medical institutions.Most pregnant women choose tertiary delivery institutions and specialist delivery institutions for delivery.Univariate and multivariate analysis showed that special clinic,cost and hospital level may be independent factors affecting pregnant women's choice of delivery institution types(P<0.05).Conclusion:Pregnant women tend to choose tertiary and specialist delivery institutions for delivery,so as to enhance the core competitiveness of secondary and private midwifery institutions,which is conducive to the rational allocation of medical resources of midwifery institutions and better ensure the safety of mothers and infants.

关 键 词：孕妇 分娩机构 影响因素 调查 

分 类 号：R714[医药卫生—妇产科学] R197[医药卫生—临床医学]