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目的了解成都市预防接种门诊设置和服务现状,为规范化门诊建设提供依据。方法采用自行设计的调查表对全市385家预防接种门诊进行问卷调查。结果全市385家预防接种门诊中大部分为每日运转(53.25%)和每周运转(44.93%),周末运转的门诊占28.31%,每月平均运转天数15.27 d。每日接种儿童数小于100人的门诊占85.19%,大于100人的门诊占14.81%,每日平均接种儿童数55人。门诊预防接种人员数平均为5.4人,其中专职人员2.7人,兼职人员2.7人。全市预防接种人员和服务人口的配比为1.18/万,0~6岁儿童和预防接种专职人员的配比为961∶1。最常用的预约通知方式为现场预约、电话通知、群发短信、村医或村干部通知,后三者的通知频率平均为4.33次/月、2.9次/月、1.45次/月。98.70%的门诊建立了宣传制度,宣传频率平均为5次/年。98.44%的门诊建立了流动儿童搜索制度和管理办法,搜索频率平均为10次/年。绝大部分门诊均设立了咨询和投诉电话,2014年17.40%的门诊接到了有关预防接种的投诉。结论预防接种服务的可及性总体较好,但接种门诊的预防接种专职人员数较少,收到预约通知的频率是影响流动儿童接种率的关键因素。
Objective To understand the status quo and service status of outpatient vaccination in Chengdu and provide the basis for standardizing outpatient clinic construction. Methods A self-designed questionnaire was used to survey 385 vaccination clinics in the city. Results Most of the 385 vaccination clinics in the city operated daily (53.25%) and weekly (44.93%), with 28.31% of clinics running on weekends and an average of 15.27 days per month. 85.19% of clinics with less than 100 children were vaccinated daily, 14.81% of those with more than 100 clinics and 55 children receiving daily average vaccination. Outpatient vaccination average 5.4 people, including 2.7 full-time staff, part-time staff 2.7 people. The city’s vaccination and service population ratio of 1.18 / million, 0 to 6-year-old children and vaccination of full-time staff ratio of 961: 1. The most commonly used notification methods for on-site appointment, telephone notification, bulk SMS, village doctors or village cadres notice, the average frequency of the latter three notification 4.33 times / month, 2.9 times / month, 1.45 times / month. 98.70% of the outpatient clinics established a publicity system, with an average frequency of 5 beats / year. 98.44% of the outpatient clinics established a mobile child search system and management approach, with an average search frequency of 10 beats / year. Most clinics have set up consultation and complaint hotlines. In 2014, about 17.40% of clinics received complaints about vaccinations. Conclusion The availability of vaccination service is generally good, but the vaccination clinics vaccinated less full-time vaccination, the frequency of receipt of appointment notice is the key factor affecting the vaccination rate of floating children.