避孕药具不良反应监测工作调研情况及改善对策思考  

Investigation on the monitoring of adverse reactions of contraceptives and reflection on improvement measures

作　　者：张学宁[1] 巴磊[1] 孙志明[1] 陈虹 吕年青[1] 龚宝梅 ZHANG Xuening;BA Lei;SUN Zhiming;CHEN Hong;LV Nianqing;GONG Baomei(Jiangsu Institute of Planned Parenthood Research/National Health and Family Planning Commission Contraceptives Adverse Reaction Surveillance Center, Nanjing, Jiangsu Province, 210036;Wuxi Commission of Health)

机构地区：[1]江苏省计划生育科学技术研究所,国家卫生计生委计划生育药具不良反应监测中心,南京210036 [2]江苏省无锡市卫生健康委妇幼处

出　　处：《中国计划生育学杂志》2020年第11期1752-1755,共4页Chinese Journal of Family Planning

基　　金：国家卫健委委托项目;江苏省科技厅项目(BM2018033-2);江苏省妇幼健康重点学科项目(FXK201755)。

摘　　要：目的:了解西部某省避孕药具不良反应监测点的工作运行现状,针对性地提出改善对策,为完善和提升避孕药具不良反应监测水平提供科学依据。方法:通过访谈、调查表和核查资料数据等方法进行实地调研。结果:本次调研共涉及该省的11家单位的60余位省、市、县(区)及乡镇(街道)的相关管理者及技术骨干。该监测点着重强化随访服务和医疗信息档案管理。监测报告存在数量减少、漏报、及时性滞后、不完整、不规范、误报及关联性分析不准确等方面不足。结论:应进一步完善并延伸基层避孕药具不良反应监测工作机制,建立科学的工作考核模式和质量控制制度,加强相关人员培训和宣传教育。Objective:To understand the status quo of the monitoring site of adverse reactions of contraception in a western province,and to put forward the targeted improvement measures,so as to provide scientific evidence for improving the monitoring level of adverse reactions of contraception.Method:Field surveys through interviews,questionnaires,and verification of medical document were conducted on contraceptives adverse reactions surveillance site.Results:This survey involved more than 60 relevant leaders and technical backbones from provinces,cities,counties/districts,and towns/sub-districts of 11 government departments.The monitoring site focuses on strengthening follow-up services and medical information file management.Deficiencies in monitoring reports were found such as the decrease in quantity,underreporting,timeliness lag,incompleteness,irregularity,misreporting,and correlation analysis errors.Conclusion:It is necessary to improve the working mechanism,to establish a scientific assessment and quality control system,and to strengthen the training and propaganda for contraceptives adverse reactions surveillance.

关 键 词：避孕药具不良反应监测 监测试点 工作机制 调查 

分 类 号：R16[医药卫生—公共卫生与预防医学]