重庆市区县级妇幼保健机构青少年保健服务能力分析  

Analysis on adolescent healthcare capacity at health centers for women and children at district and county level in Chongqing

作　　者：何丹[1] 文霞 张海燕[1] 王馨悦 肖年[3] He Dan;Wen Xia;Zhang Haiyan;Wang Xinyue;Xiao Nian(Department of Obstetrics and Gynecology,Chongqing Health Center for Women and Children&Women and Children′s Hospital of Chongqing Medical University,Chongqing 401147,China;Service Office for Maternal and Child Health,Chongqing Health Commission,Chongqing 401147,China;Department of Maternal and Child Information Management,Chongqing Health Center for Women and Children&Women and Children′s Hospital of Chongqing Medical University,Chongqing 401147,China)

机构地区：[1]重庆市妇幼保健院重庆医科大学附属妇女儿童医院妇产科,重庆401147 [2]重庆市卫生健康委员会妇幼健康处,重庆401147 [3]重庆市妇幼保健院重庆医科大学附属妇女儿童医院妇幼信息管理科,重庆401147

出　　处：《中华医院管理杂志》2022年第4期299-303,共5页Chinese Journal of Hospital Administration

基　　金：重庆市妇幼保健科研培育专项项目(2022FY202)。

摘　　要：目的分析和评估重庆市区县级妇幼保健机构青少年保健服务能力,为进一步推进青少年保健工作提供理论依据。方法2021年1—2月,通过调查问卷收集重庆市39所区县级妇幼保健机构的青少年保健服务提供情况和人力资源数据,对数据进行描述性分析。结果重庆市39所区县级妇幼保健机构中,32所(82.1%)设置了青少年保健门诊,但均不属于独立的科室,以隶属妇科为主(40.6%)。37所机构(94.9%)提供机构内青少年保健服务,其中26所(66.7%)同时提供机构外青少年保健服务。所有机构均能提供常见生殖健康疾病防治服务,但能提供营养评估及常见问题咨询与指导、心理行为筛查及心理卫生咨询与指导、意外伤害预防与指导、暴力伤害预防与咨询、网络成瘾行为评估与指导等服务的机构分别为25所、20所、16所、10所和8所。从事青少年保健工作的卫生技术人员共有273人,以兼职人员为主(98.9%)。结论重庆市区县级妇幼保健机构的青少年保健门诊建设仍待加强,青少年保健的服务提供和人力资源配置均存在不足。Objective To analyze and evaluate the capacity of adolescent healthcare at health centers for women and children at district and county level in Chongqing,for theoretical basis in promoting adolescent healthcare.Methods From January to February 2021,a unified questionnaire was used to collect the information of adolescent healthcare and data of human resources from 39 health centers for women and children at district and county level in Chongqing.The survey data were analyzed by descriptive statistics.Results Among the 39 health centers for women and children at district and county level in Chongqing,32(82.1%)institutions maintain adolescent outpatient clinics,most of which under gynecology(40.6%)instead of independent departments.37(94.9%)institutions could provide health care services for adolescents,and 26(66.7%)institutions could provide the services both in and out-institution services.All the institutions could provide services of prevention and treatment for regular reproductive health diseases,but the numbers of institutions providing such services as nutritional assessment,common problems consultation and guidance,psycho-behavioral screening,mental health consultation and guidance,accidental injury prevention and guidance,violence injury prevention and guidance,as well as Internet addiction assessment and guidance,were 25,20,16,10 and 8,respectively.There were 273 medical workers engaged in adolescent healthcare,mostly part-time(98.9%).Conclusions The construction of outpatient clinics for adolescent health care is expected to be strengthened at health centers for women and children at district and county level in Chongqing.Meanwhile,services provision and human resources of medical workers for adolescent health care are inadequate.

关 键 词：卫生服务管理 健康促进 妇幼保健机构 青少年保健 服务能力 

分 类 号：R197.5[医药卫生—卫生事业管理]