摘要
目的：了解上海市某中心城区基本公共卫生服务中儿童保健服务利用现状，探讨提高基本儿童保健服务利用的措施。方法：采用定性研究与定量研究相结合的方法，对基本儿童保健服务政策制定者、实施管理者、服务提供者及服务对象母亲进行个人深入访谈，并对全区13个社区卫生服务中心调查期间内18个月～2岁的儿童母亲进行问卷调查。结果：调查对象中儿童建卡率、自报规范体检率及1岁以内≥5次体检率分别为87．3％、84．8％及72．0％，其中上海市户籍儿童分别为93．7％、93．9％及87．4％，非该市户籍儿童分别为73．9％、73．1％及52．6％。影响基本儿童保健服务利用的因素，包括来自儿童家长、保健服务人员及体制机制等各个方面。结论：要缩小户籍与非户籍儿童基本保健服务政策知晓和服务利用上的差距，需要进一步加强基本儿童保健服务政策宣传，提高流动儿童家长保健意识，同时完善基层儿保人员激励机制。
Objective： To understand the current situation of basic child healthcare service utilization in a central urban area of Shanghai city, explore the measures to improve basic child healthcare service utilization. Methods： Qualitative research method combined with quantitative research method were used to conduct deeply individual interview among basic child healthcare service policy makers, man- agers, providers and mothers of children; the mothers of children of 18 months -2 years were investigated by a questionnaire in 13 communi- ty health service centers of the whole district. Results： Among the survey objects, the establishing heahhcare card rate, self- report norma- tive physical examination rate, and physical examination rate within one year1〉5 times were 87. 3%, 84. 8%, and 72. 0%, which were 93.7%, 93.9%, 87.4% in children with Shanghai census register and 73.9%, 73.1%, 52. 6% in children without Shanghai census regis- ter; the influencing factors of basic child healthcare service utilization included various aspects of parents, healthcare service providers, sys- tem and mechanism. Conclusion： To reduce the gap of basic child healthcare service policy awareness and service utilization between chil- dren with Shanghai census register and children without Shanghai census register; basic child healthcare service policy publicity should be further enhanced, the awareness of parental heahhcare in floating population be improved, and the incentive mechanism of child healthcare staff in basic hospitals should be perfected.
出处
《中国妇幼保健》
CAS
北大核心
2013年第35期5757-5760,共4页
Maternal and Child Health Care of China
基金
上海市公共卫生重点学科建设计划资助〔12GWZX0301〕
关键词
儿童保健
基本公共卫生服务项目
服务利用
Child healthcare
Basic public health service project
Service utilization
