社区卫生服务中心常用儿科医疗设备和药品配备及使用情况分析  

Analysis on the allocation and use of pediatric medical equipments and drugs commonly used in urban community health service centers

作　　者：殷涛[1] 王晰 尹德卢[1] Yin Tao;Wang Xi;Yin Delu(Department of Health Development,Capital Institute of Pediatrics,Beijing 100020,China;Center for Non-communicable Disease Management,Beijing Children′s Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]首都儿科研究所儿童卫生与发展研究室,北京100020 [2]首都医科大学附属北京儿童医院儿童慢病管理中心,北京100045

出　　处：《中华医院管理杂志》2023年第1期27-31,共5页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(71673191)。

摘　　要：目的调查分析社区卫生服务中心常用儿科医疗设备和药品的配备及使用情况,为进一步加强社区儿童健康服务能力建设提供决策参考。方法2020年4—8月,采用多阶段分层随机抽样法,抽取我国14个城市的30家社区卫生服务中心作为问卷调查对象,调查社区卫生服务中心21种常用儿科医疗设备和23种常用儿科药品配备和使用情况。结果30家社区卫生服务中心的21种常用儿科医疗设备平均配备率和使用率分别为61.9%和62.6%,23种常用儿科药品平均配备率和使用率分别为46.7%和31.1%。不同级别城市社区卫生服务中心间设备使用率差异有统计学意义(P<0.05);不同地区、不同级别城市、不同辖区类型和不同机构类型的社区卫生服务中心间常用儿科药品配备率差异有统计学意义(P<0.05)。结论我国城市社区卫生服务中心常用儿科医疗设备和药品的配置率与使用率整体偏低,尤其是药品使用率。政府应进一步加强基层儿科诊疗服务能力建设,合理配备基层常用儿科医疗设备和药品。Objective To investigate and analyze the allocation and use of the common pediatric medical equipment and drugs in community health service centers,so as to provide decision-making reference for further strengthening the capacity-building of community children′s health services.Methods Using multi-stage stratified random sampling method,30 community health service centers in 14 cities were selected to investigate the basic situation of the sample centers,and the allocation and use of 21 kinds of commonly used pediatric medical equipment and 23 kinds of commonly used children′s drugs from April to August 2020.Results The overall allocation rate of 21 commonly used pediatric medical equipment in the sample centers was 61.9%,and the overall utilization rate was 62.6%.The overall allocation rate of 23 commonly used drugs for children in the sample centers was 46.67%,and the overall utilization rate was 31.1%.There was a statistically significant difference in the utilization rate of equipment among different levels of urban community health service centers(P<0.05);There were statistically significant differences in the allocation rate of commonly used children′s drugs among community health service centers under different regions,cities at different levels,types of jurisdictions,and institutional types(P<0.05).Conclusions The overall allocation and utilization rate of commonly used pediatirc medical equipment and drugs in urban community health service centers in China were relatively low,especially the drug utilization rate.The author suggested that the government should further strengthen the construction of grassroots pediatric diagnosis and treatment service capabilities,and reasonably equip commonly used pediatric medical equipment and drugs at the grassroots level.

关 键 词：儿科 社区卫生服务中心 儿科医疗设备 儿科药品 配备率 使用率 

分 类 号：R197.61[医药卫生—卫生事业管理]