上海市健康场所建设的现况分析  

Analysis of the current status of health facility development in Shanghai

作　　者：乔芬芬 徐刚[2] 魏晓敏 刘惠琳 姜综敏 王慧[2] QIAO Fenfen;XU Gang;WEI Xiaomin;LIU Huilin;JIANG Zongmin;WANG Hui(Shanghai Health Promotion Center,Shanghai 200040,China;School of Public Health,Shanghai Jiao Tong University,Shanghai 200025,China)

机构地区：[1]上海市健康促进中心,上海200040 [2]上海交通大学公共卫生学院,上海200025

出　　处：《上海预防医学》2024年第7期619-623,共5页Shanghai Journal of Preventive Medicine

基　　金：国家自然科学基金项目(82030099);国家重点研发计划(2022YFD2101500);上海市“科技创新行动计划”科普专项项目(22DZ2303000);上海市高水平地方高校建设创新团队建设项目。

摘　　要：【目的】比较不同区域(非涉农区、涉农区)和类型的健康场所在组织管理、健康环境、健康活动、健康结局4个维度的建设现况差异,探索可能影响建设现况的因素,梳理健康场所建设的有效经验,为后续全面、规范、有效地推进健康场所建设和分级分类管理提供依据。【方法】对上海市16个区3种类型(分别为机关、企业、社区)的50个健康场所开展基于4个维度的健康现况调查。通过现场观察和档案查阅等方法分别填写评估表,评估表参考《上海市健康场所评价标准》(2019试行)编制。【结果】上海市健康场所的平均总分为(88.42±11.93)分,总体优秀率为86.0%,各维度优秀率从高到低依次为健康环境(84.0%)、组织管理(82.0%)、健康活动(78.0%)和健康结局(44.0%)。涉农区健康场所在总分及组织管理维度的平均得分高于非涉农区,涉农区健康场所组织管理维度的优秀率也高于非涉农区。不同类型健康场所的总分、各维度得分、总体优秀率及各维度优秀率差异均无统计学意义(P>0.05)。【结论】上海市机关、企业和社区健康场所的建设已初见成效,非涉农区健康场所应积极借鉴涉农区健康场所在组织管理等方面的建设经验,结合自身实际调整建设思路和建设规划,不断提升建设水平。[Objective]To compare the development status of health facilities in different regions(non-agricultural and agricultural districts)and different types across four dimensions:organizational management,health environment,health activities,and health outcomes,to explore factors that may affect the current development status and summarize effective experiences,and to provide a foundation for the subsequent comprehensive,standardized,and effective promotion of health facility development and tiered and classified management.[Methods]Investigators conducted a health status survey based on the four dimensions for 50 health facilities in 16 districts of Shanghai,representing three types(including government agencies,enterprises,and communities).Evaluation forms were filled out through on-site observation and document reviews,which were developed in accordance with the Shanghai Health Settings Evaluation Standards(for trial implementation in 2019).[Results]The average total score of health facilities in Shanghai was(88.42±11.93)points,with an overall excellence rate of 86.0%.The excellence rate of each dimension,from highest to lowest,were healthy environment(84.0%),organizational management(82.0%),health activities(78.0%),and health outcomes(44.0%).Health facilities in agricultural districts scored higher in both total score and average score on the organizational management dimension compared to non-agricultural districts.The excellence rate for the organizational management dimension was also higher in agricultural districts than in non-agricultural districts.There was no statistical significance in the total score,the score of each dimension,the overall excellence rate,and the excellence rate of each dimension among different types of health facilities(P>0.05).[Conclusion]The development of health facilities among government agencies,enterprises,and communities in Shanghai has begun to yield positive results.Health facilities in non-agricultural districts should actively draw on the experience of those in agricultura

关 键 词：健康场所 组织管理 健康环境 健康活动 健康结局 

分 类 号：R1[医药卫生—公共卫生与预防医学] G479[文化科学—教育学]