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目的了解高中学校卫生保健资源,为管理决策提供依据。方法2007年10～11月,对2所高校2007级457名大学新生高中所在的290所学校卫生保健状况进行回顾性问卷调查。结果调查公办学校260所,社会企业办学学校30所;农村学校76所,县城和城市学校214所。公办学校保健教师配备比例为85.8%,明显高于社会与企业办学学校的40.0%(P<0.01);农村学校兼职保健教师比重为72.4%,高于县城和城市学校的56.5%(P<0.05)。93.4%的学校配有医务室,但社会和企业办学学校的比例只有76.7%,低于公办学校的95.4%(P<0.01)。94.1%的医务室能开展业务工作,但社会和企业办学学校医务室的工作能力劣于公办学校(P<0.05)。社会和企业办学校未开展健康教育的有13.3%,高于公办学学校的0.4%(P<0.01)。健康教育形式主要为广播和宣传栏。结论高中学校卫生保健资源不足,社会和企业办学学校以及农村学校尤甚。
Objective To understand the resources of high school health care and provide the basis for management decision-making. Methods From October to November 2007, a retrospective questionnaire survey was conducted on the health care status of 290 schools in 457 freshmen high schools in 2007 at the two universities. Results There were 260 public schools, 30 social enterprises run by schools, 76 rural schools, 214 county schools and urban schools. The proportion of health teachers in public schools was 85.8%, significantly higher than that in social and business schools (P <0.01). The proportion of part-time health teachers in rural schools was 72.4%, higher than 56.5% in county and urban schools (P <0.05) ). 93.4% of the schools have clinics, but only 76.7% of the schools run schools and enterprises, which is lower than 95.4% of those in public schools (P <0.01). 94.1% of the medical clinics can do business, but social and business schools have less work capacity than public schools (P <0.05). Social and business schools did not carry out health education 13.3%, higher than public schools 0.4% (P <0.01). The main forms of health education are radio and information boards. Conclusions High school health care resources are inadequate, especially in schools for social and business schools and rural schools.