深圳市社区健康服务中心儿童健康服务能力情况调查  

Survey on child health service capacity of community health institutions in Shenzhen city

作　　者：马红玲[1] 刘洋 王仁平 李文竹 张玉彩 董琳琳[1] 郑跃杰[1] Ma Hongling;Liu Yang;Wang Renping;Li Wenzhu;Zhang Yucai;Dong Linlin;Zheng Yuejie(Department of Respiratory Medicine,Shenzhen Children′s Hospital,Shenzhen 518038,China;Shenzhen Health Capacity Building and Continuing Education Center,Shenzhen 518038,China;Longhai-Home Community Health Service Center of Nanshan District Medical Group,Shenzhen 518052,China;Fuzhong Community Health Service Center of Futian District,Shenzhen 518038,China;Department of General Practice,Longhua People′s Hospital,Shenzhen 518109,China)

机构地区：[1]深圳市儿童医院呼吸科,深圳518038 [2]深圳市卫生健康能力建设和继续教育中心,深圳518038 [3]深圳市南山区医疗集团总部龙海家园社区健康服务中心,深圳518052 [4]深圳市福田区福中社区健康服务中心,深圳518038 [5]深圳市龙华人民医院全科医学科,深圳518109

出　　处：《中华全科医师杂志》2024年第9期951-956,共6页Chinese Journal of General Practitioners

基　　金：深圳市卫生健康委员会医防融合儿科学项目(深卫健体改[2019]25号)。

摘　　要：目的了解深圳市2023年社区健康服务中心儿童健康服务能力情况,并与2019年进行比较。方法该研究为横断面研究。于2024年1月23日至2月3日对深圳市社区健康服务中心(站)及卫生院全科医生进行线上问卷调查,调查内容包括2019年和2023年开展儿童健康管理、预防接种、常见疾病诊疗、儿童慢性疾病管理、适宜技术、儿童专用药物剂型配备、儿童专用中成药及中医适宜技术、转诊及远程会诊项目开展情况。对于没有开展的项目,进一步调查原因。设置一个开放式问题"为了提升儿童健康服务能力,有哪些建议"。结果共收回559家有效问卷,占2023年深圳市社区健康服务中心(站)及卫生院的64.48%(559/867)。与2019年比较,2023年有11个儿童健康服务项目的开展率明显增加(均P<0.01),其中2023年的开展率分别为:6岁以下儿童常见病诊疗(96.06%,537家)、雾化吸入治疗(96.60%,540家)、流感等呼吸道病原学检测(90.70%,507家)、轮状病毒等肠道病原学检测(34.53%,193家)、过敏原检测(81.75%,457家)、血氧饱和度监测(84.44%,472家)、儿童西药专用剂型配备(90.52%,506家)、儿童专用中成药配备(89.27%,499家)、中医适宜技术(88.19%,493家)、相对固定的向上级转诊医院(95.17%,532家)和远程会诊(19.14%,107家)。2023年开展率<85%的项目未开展的原因,基本公共卫生项目方面主要因为场地和人员欠缺;在疾病诊断检测方面,包括场地欠缺、人员欠缺及知识和技术能力欠缺;远程会诊主要是设备和人员欠缺。394家机构人员(70.48%)对开放式问题提出了建议,依次为:开展和加强各种培训(44.42%,175/394),专家下社区健康服务中心坐诊带教占18.53%(73/394),增加场地和设备占9.39%(37/394),到上级单位进修学习占8.88%(35/394)。结论2023年深圳市社区健康服务中心在儿童常见疾病诊疗及其相应的适宜技术、药物配置开展等方面较2019年提升明显,但�Objective To survey the child health service capacity of community health service institutions in Shenzhen city.Methods This was a cross-sectional study.An online survey was conducted among 559 community health service centers,stations and clinics in Shenzhen from January 23,2024 to February 3,2024.The questionnaire contents included the development of child health management,vaccination,diagnosis and treatment of common diseases in children,management of children′s chronic diseases,appropriate technology,availability of children′s special drug dosage forms,provision of special Chinese patent medicine and appropriate technology of traditional Chinese medicine for children,referral and remote consultation in 2019 and 2023.The reasons of unavailable service items were asked in the questionnaire and the questionnaire also contained an open-ended question about the suggestions for improving the capacity of child health services.Results A total of 559 valid questionnaires were collected,accounting for 64.48%(559/867)of the community health service centers,stations and health clinics in Shenzhen in 2023.Compared to 2019,there was a significant increase in the rate of pediatric health services provided in 2023,including the diagnosis and treatment of common diseases in children under 6 years(96.06%,537 institutions),nebulized inhalation therapy(96.60%,540 institutions),influenza and other respiratory pathogen detection(90.70%,507 institutions),rotavirus and other intestinal pathogen detection(34.53%,193 institutions),allergen detection(81.75%,457 institutions),blood oxygen saturation monitoring(84.44%,472 institutions),pediatric-specific formulations of Western medicine(90.52%,506 institutions),pediatric-specific formulations of traditional Chinese medicine(89.27%,499 institutions),appropriate Chinese medicine techniques(88.19%,493 institutions),relatively fixed referral hospitals(95.17%,532 institutions),and remote consultation service(19.14%,107 institutions);and the differences were statistically significant(P<0.

关 键 词：社区健康服务中心 儿童 儿童健康服务 

分 类 号：R197.61[医药卫生—卫生事业管理]