深圳市社区健康服务机构中小学生健康管理服务能力现况  

Current situation of primary and secondary school students'health services in community health service organizations in Shenzhen

作　　者：卢文龙 林炳亮 宣鹏 李妍 温尔雅 蓝丽娜[1] 熊静帆[1] LU Wenlong;LIN Bingliang;XUAN Peng;LI Yan;WEN Erya;LAN Lina;XIONG Jingfan(Child and Adolescent Chronic Disease Prevention and Control Department,Shenzhen Center for Chronic Disease Control,Shenzhen(518000),Guangdong Province,China)

机构地区：[1]广东省深圳市慢性病防治中心儿童青少年慢性病防控科,518000

出　　处：《中国学校卫生》2024年第12期1699-1703,共5页Chinese Journal of School Health

基　　金：深圳医学重点学科建设项目(SZXK065);深圳市基础研究资助项目(KCXFZ20201221173400002);深圳市“医疗卫生三名工程”项目(SZSM202311020)。

摘　　要：目的了解和评估深圳市社区健康服务机构中小学生健康服务现况,为提升健康服务能力提供依据。方法2022年6月,以深圳市684家社区健康服务机构和587名兼职卫生健康副校长为研究对象,采用深圳市社区健康服务机构中小学生健康服务能力专项调研问卷和社区健康服务机构兼职卫生健康副校长履职能力专项调研问卷进行问卷调查。使用SPSS 26.0软件进行描述性分析。结果深圳市社区健康服务机构全科或临床医师配备率为99.9%;67.1%的社区健康服务机构与学校建立对口协作关系;50.8%为学生提供诊疗服务;24.8%为学生提供健康体检服务;85.2%为学校提供健康指导;94.3%的社区健康服务机构负责人兼职卫生副校长,自评履职能力为(7.63±1.59)分;场地限制和医护人手不足是推进学生体检进社康的主要问题。结论深圳市社区健康服务机构医疗服务资源和专业人员培训不足,为中小学生提供健康体检和健康管理的服务能力不高。需进一步推进教卫融合,持续提升服务能力,促进学生健康工作有效开展。Objective To understand and assess the current situation of primary and secondary school students'health services in community health service organizations in Shenzhen,so as to provide a basis for upgrading the capacity of health services.Methods A total of 684 community health service organizations and 587 part-time health vice-principals in the Shenzhen City were selected for the study in June 2022,and the special questionnaire surveys regarding primary and secondary school students'health service capacity and the community health service organizations and part-time health vice-principals performance ability were administered in Shenzhen.SPSS 26.0 software was used for a descriptive analysis.Results The staffing rate of general practitioners or clinical physicians in Shenzhen's community health service organizations was 99.9%,67.1% of community health service organizations established counterpart collaborative relationships with schools,50.8% of community health service organizations provided diagnostic and treatment services for students,24.8% of community health service organizations provided health check-up services for students,85.2% of community health service organizations provided health guidance to schools,and 94.3% of community health service organizations had a part-time vice-principal of health with a score of(7.63±1.59)in the self-assessment of their ability to carry out their duties,and space constraints and shortage of nursing were the main problems in promoting student medical check-ups in the community health service organizations.Conclusions The community health service organizations in Shenzhen suffer from inadequate medical service resources and inadequate training for professional staff,resulting in low service capacity for providing physical examinations and health management for primary and secondary school students.There is a need to further promote the integrated development of education and health,and continuously enhance service capabilities,to promote the orderly development of stude

关 键 词：社区卫生服务 组织和管理 健康促进 中小学生卫生保健服务 

分 类 号：R179[医药卫生—妇幼卫生保健] G479[医药卫生—公共卫生与预防医学] R197.61[文化科学—教育学]