上海市浦东新区儿童早期发展基地建设实践与思考  

Practice and reflections on construction of early childhood development bases in Pudong New Area, Shanghai

作　　者：张丽珊 金星明[2] 许磊 施君瑶 ZHANG Lishan;JIN Xingming;XU Lei;SHI Junyao(Shanghai Pudong Center for Women and Children’s Health,Shanghai 201399,China;Shanghai Children’s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海市浦东新区妇幼保健中心,中国上海201399 [2]上海交通大学医学院附属上海儿童医学中心,中国上海200127

出　　处：《教育生物学杂志》2024年第6期437-442,共6页Journal of Bio-education

基　　金：上海市浦东新区卫生健康委员会卫生科技项目(PW2020A-30);上海市浦东新区卫生健康委员会第二轮医学学科建设项目(PWYgts2021-02)。

摘　　要：目的在上海市浦东新区建立儿童早期发展基地,以支持儿童早期发展工作的推广。方法自2019年起,浦东新区的4家医疗机构采用“1+4+X+Y”模式建设儿童早期发展基地,提供整合性儿童早期发展服务,包括早期监测、筛查,推广适宜技术,以及开展健康教育。结果通过基地建设,提高了社区卫生服务中心儿童保健工作者的专业技能和服务能力,3岁以下儿童的系统管理率超过对照中心,5岁以下儿童营养不良和贫血的检出率低于对照中心。养育者对儿童早期发展理念的接受度有所提高。结论浦东模式的儿童早期发展基地建设能够将养育照护实践扩展到社区,降低儿童生长发育不良的风险,提升养育者的育儿理念,值得在一定区域内推广。Objective To establish the early childhood development bases in Pudong New Area to support the promotion of early childhood development work.Methods In 2019,4 hospitals in Pudong New Area adopted the“1+4+X+Y”model to build early childhood development bases.The hospitals provided integrated early childhood development services,including early monitoring,screening,promoting appropriate technologies,and conducting health education.Results Through the establishment of these bases,the professional skills and service capabilities of community child health care workers were improved.The systematic management rate of children under 3 years old exceeded that of the control center,and the detection rates of malnutrition and anemia in children under 5 years old were lower than those in the control center.The acceptance of concepts of early childhood development was higher in the caregivers compared with before.Conclusion The establishment of early childhood development bases based on the Pudong model can extend parenting and caregiving practices to the community,reduce the risk of children’s growth and development disorders,and enhance the parenting philosophy of caregivers.This model is worth promotion in other regions.

关 键 词：儿童早期发展 养育照护 浦东模式 

分 类 号：R179[医药卫生—妇幼卫生保健]