江西省卫生服务能力建设工程对乡镇卫生院服务功能开展的影响

发布时间：2022-12-17 10:57:14 来源：文档文库

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江西省卫生服务能力建设工程对乡镇卫生院服务功能开展的影
响
黎国庆;袁兆康;周伟;王希;冯欣;方晓;黄仁辉;段晨辉
【期刊名称】《南昌大学学报（医学版）》【年(卷,期】2011(051007
【摘要】目的探讨江西省卫生服务能力建设工程对乡镇卫生院服务功能的影响,为今后健全和完善乡镇卫生院的服务功能提供依据.方法对2010年1552所乡镇卫生院采用江西省乡镇卫生院卫生服务能力建设工程终期调查表进行调查.用描述性统计指标对2010年乡镇卫生院工作开展及科室设置情况进行分析,并与2007年的数据进行比较.结果2010年传染病疫情监测开展率为96.08%、常规免疫接种开展率为94.13%较2007年略有降低(97.19%、95.55%,绝对增加量分别为-1.11%、-1.42%;杀虫、灭鼠开展率为74.48%、碘缺乏病监督监测开展率为69.13%较2007年明显增加(71.27%、64.73%,绝对增加量分别为3.21%、4.40%.2010年健康教育开展率为96.67%儿童健康检查开展率为94.78%较2007年明显增加(94.04%、90.05%,绝对增加量分别为2.63%、4.73%.但2010年儿童生长监测、体弱儿管理的开展情况不理想(74.48%、69.13%.2010年内科开展率为100.00%、儿科开展率为100.00%、药房(含中药开展率为100.00%、妇产科开展率为94.99%、化验室开展率为93.66%、B超开展率为92.95%、发热门诊开展率为92.89%、肠道门诊开展率为90.47%、心电图室开展率为87.47%较2007年明显增加(99.73%、92.21%、98.39%、87.96%、90.84%、82.66%、86.32%、90.45%、80.32%,且均有明显改善.2010年剖腹产开展率为40.60%、胃切除开展率16.06%为较2007年明显降低(46.20%、21.60%,绝对增加量分别为-5.60%、

-4.64%,且外科手术的开展总体呈下降趋势.2010年血、尿、便三大常规开展率为92.75%、乙肝表面抗原开展率为85.18%、乙肝二对半开展率为82.31%较2007年明显增加(90.25%、79.91%、77.49%,绝对增加量分别为2.50%、5.27%、4.82%,且整体有上升的趋势.2010年胃肠钡餐造影(18.73%较2007年(22.19%明显降低.结论江西省乡镇卫生院服务功能整体工作的开展有显著的改善,基本达到预期的目标,但还存在不足及需改善.%ObjectiveToexploretheeffectofhealthservicecapacitybuildingprojectonthedevelopmentofservicefunctionsintownshiphospitalsinJiangxiprovince,andtoprovideascientificbasisforimprovingandperfectingtownshiphospitalservicefunctions.MethodsAninvestigationwasperformedin1552townshiphospitalsinJiangxiprovinceusingthefinalhealthservicecapacitybuildingquestionnaire.Thesituationofworkdevelopmentanddepartmentinstallationintownshiphospitalsin2010wasanalyzedusingdescriptivestatisticalindicators,andcomparedwiththatin2007.ResultsThedevelopmentrateofinfectiousdiseasesurveillancewas96.08%in2010,withadecreaseof-1.11%comparedwith2007(97.19%.Thedevelopmentrateofroutineimmunizationwas94.13%in2010,withadecreaseof-1.42%comparedwith2007(95.55%;Thedevelopmentrateofderatizationanddisinsectionwas74.48%,withanincreaseof3.21%comparedwith2007(71.27%.Thedevelopmentrateofsupervisionandmonitoringofiodinedeficiencydisorderswas69.13%in2010,withanincreaseof4.40%comparedwith2007(64.73%.Thedevelopmentrateofhealtheducationwas96.67%in2010,withanincreaseof2.63%
comparedwith2007(94.04%.Thedevelopmentrateofchildhealthcheck

was94.78%in2010,withanincreaseof4.73%comparedwith2007(90.05%.Thedevelopmentratesofmonitoringofchildgrowthand
managementoffrailchildrenwerenotsatisfactoryin2010(74.48%and69.13%,respectively.Thedevelopmentratesof
medicine,pediatrics,pharmacies,obstetricsandgynecology,laboratories,Bultrasound,feverclinics,intestinalclinics,andECGRoomsin2010(100.00%,100.00%,100.00%,94.99%,93.66%,92.95%,92.89%,90.47%and87.47%,respectivelysignificantlyincreasedcomparedwith2007(99.73%,92.21%,98.39%,87.96%,90.84%,82.66%,86.32%,90.45%and80.32%,respectively.Thedevelopmentratesofcaesar-eansectionandgastrectomyin2010(40.60%and16.06%,respectivelydecreasedby-5.60%and-4.64%comparedwith2007(46.20%and21.
60%,respectively,andtherewasaoveralldownwardtrendinthe
developmentofsurgery.Thedevelopmentrateofroutineexaminationofblood,urineandfeceswas92.75%in2010,withanincreaseof2.50%comparedwith2007(90.25%.ThedevelopmentrateofhepatitisBsurfaceantigendetectionwas85.18%,withanincreaseof5.27%comparedwith2007(79.91%.ThedevelopmentrateofhepatitisMdetectionwas82.31%,withanincreaseof4.82%comparedwith2007(77.49%.Thedevelopmentrateofgastrointestinalbariummealexaminationwas18.73%,withadecreaseof3.46%comparedwith2007(22.19%.ConclusionThehealthservicecapacitybuildingprojectresultedinsignificantimprovementinthedevelopmentofservicefunctionsintownshiphospitalsinJiangxiprovince,andthedesiredobjectivewas

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