上海市社区卫生服务中心妇女健康管理现况研究  

Women’s health management practice in Shanghai Community Health Service Centers

作　　者：马小敏 陈海英 万和平 俞英 MA Xiaomin;CHEN Haiying;WAN Heping;YU Ying(Preventive Health Care Department,Xidu Street Community Health Service Center,Fengxian District,Shanghai 201400,China;Administrative Section,Xidu Street Community Health Service Center,Fengxian District,Shanghai 201400,China;Community Health Management Department,Shanghai Municipal Health Promotion Center,Shanghai 200040,China)

机构地区：[1]上海市奉贤区西渡街道社区卫生服务中心预防保健科,上海201400 [2]上海市奉贤区西渡街道社区卫生服务中心行政管理科,上海201400 [3]上海市健康促进中心社区卫生管理部,上海200040

出　　处：《中国农村卫生事业管理》2024年第10期704-708,716,共6页Chinese Rural Health Service Administration

基　　金：上海市奉贤区科技发展基金项目(20211605)。

摘　　要：目的掌握上海市社区卫生服务中心妇女保健健康管理现状,以期更好地满足妇女健康管理需求。方法采取自制问卷对上海市251家社区卫生服务中心进行社区妇女保健相关人力资源、场所、设备、门诊开设等情况进行调查。结果社区卫生服务中心问卷有效填写率为84.46%,妇女保健卫技人员占卫技人员2.55%,各中心妇女保健卫技人员人数均少于6人。社区卫生服务中心妇女健康管理人员主体中81.60%是有全科资质的妇产科医生,其次为提供妇产科门诊的全科医生,占比15.56%。妇女保健专用诊室在上海市区域分布差异具有统计学意义(χ^(2)=8.713,P<0.05),中心城区89.72%、近郊区97.44%、远郊区78.79%;94.02%调查社区有妇女保健咨询指导室;48.91%有医学检查室。17.45%社区卫生服务中心有与外部机构进行妇女健康管理共建。妇女健康管理共建率区域分布:中心城区、近郊区、远郊区分别为15.89%、33.33%、10.61%,差异具有统计学意义(χ^(2)=9.156,P<0.05)。结论为更好夯实妇女保健基层网络体系,需通过数据化运营管理等技术对资料进行整合,降低管理成本及人力成本,真正发挥社区卫生服务中心在妇女全生命周期健康服务中的应用。Objective To know about the status quo of women's health care management in the community health service centers of Shanghai to better meet the needs of women's health management.Methods Self-made questionnaires were used to investigate and analyze the human resources,sites,equipment and outpatient services in 251 community health service centers of Shanghai.Results The effective questionnaire filling rate of community health service centers was 84.46%,women health technicians accounted for 2.55%of health technicians in community health service centers,who were less than 6 in each center.Among women's health managers in community health service centers 81.60%were obstetricians and gynecologists with general practice qualification,followed by general practitioners(15.56%)providing obstetric and gynecological clinic service.The difference in the regional distribution of women's health care clinics in Shanghai was significant(χ^(2)=8.713,P<0.05),89.72%in the central urban areas,97.44%in the inner suburbs and 78.79%in the outer suburbs.Among the surveyed communities 94.02%had counseling rooms for women's health care and 48.91%had medical examination rooms.And 17.45%of community health service centers had cooperated with other institutions to manage women's health.The co-construction rates of women's health management were 15.89%,33.33%and 10.61%in the central urban area,inner suburban area and outer suburbs,respectively,and the difference was found to be statistically significant(χ^(2)=9.156,P<0.05).Conclusion In order to better develop the grassroots network system for women's health care,it is necessary to integrate and manage data through data operation and management technologies,reduce management costs and labor costs,and truly give full play to the role of community health service centers in women's whole life cycle health services.

关 键 词：健康管理 妇幼保健网络 社区卫生服务中心 

分 类 号：R197.1[医药卫生—卫生事业管理]