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目的:评价深圳和眉山两地区不同部门和不同等级医疗机构人工流产服务质量,为进一步干预研究提供依据。方法:2005年10月~2006年3月,分别在深圳市和四川省眉山市对计划生育及卫生部门的市、县、乡三级开展人工流产服务机构,对完成流产手术离院前的妇女进行半结构式问卷调查,了解她们获得的相关服务及其对服务的评价。结果:术前医生对服务过程解释的比例为79%,术中对受术者不适进行处理的比例(61%),流产后避孕指导(67%)以及提供相应的宣教材料(52%)的水平均较低。深圳市流产服务在术后随访、性生活和避孕指导以及提供宣教材料方面高于眉山市,计划生育系统的人性化服务和流产后避孕服务好于卫生系统,县级机构术后指导和宣教以及人性化服务好于市级机构。总体上,流产妇女对服务的满意度为83%,其中对计划生育服务机构满意度(89%)高于卫生机构(76%),县级机构(93%)高于市级机构(72%)。结论:我国流产服务质量仍有很大的改善余地,尤其要加强以服务对象为中心的人性化服务和流产后避孕服务。经济欠发达地区和市一级服务机构是改进的重点。
Objective: To evaluate the quality of abortion services in different departments and different levels of medical institutions in Shenzhen and Meishan, and to provide basis for further intervention research. Methods: From October 2005 to March 2006, abortion service agencies were established in cities of Meizhou City, Sichuan Province and Meishan City, Sichuan Province respectively, at the city, county and township level of family planning and health departments. For women who completed abortion before surgery Conduct a semi-structured questionnaire to find out about the services they receive and their evaluation of the service. Results: The preoperative doctor explained 79% of the service process, the rate of intraoperative pain relief (61%), postpartum contraceptive guidance (67%) and the corresponding educational material (52%) The level is lower. Shenzhen abortion services are better than Meishan in terms of postoperative follow-up, sexual life and contraceptive guidance, and provision of educational materials. Human services and post-abortion contraceptive services are better than those in health systems, poststructural post-operative guidance and education, and Human services better than municipal agencies. Overall, abortion women’s satisfaction with services was 83%, of which 89% were higher than health institutions (76%), while county-level institutions (93%) were higher than municipal agencies (72% ). Conclusion: There is still much room for improvement in the quality of abortion services in our country. In particular, it is necessary to strengthen human services based on service targets and contraceptive services after abortion. The economically less developed regions and municipal service agencies are the focus of improvement.