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目的对甘肃省三级妇幼保健机构提供的临床服务状况进行分析,以期发现存在的问题并提出相应的建议。方法依托《全国妇幼卫生机构管理信息网络报告系统》,对2010年甘肃省妇幼保健机构提供的临床服务状况进行调查分析,并比较2006～2010年临床服务变化情况。结果 2010年甘肃省妇幼保健机构平均年门急诊总数为215万人次,其中妇产科门诊占门急诊总人次的36.27%。妇产科、儿科所占床位比例在70%以上,病床使用率平均为65.84%,其中省级为128.95%,市州级为62.27%,县区级为51.32%。剖宫产率以省级机构39.23%最高。近5年各级机构门急诊总人次、出院人次、病床使用率均呈增长趋势。结论总体上甘肃省妇幼保健机构的临床服务能力逐渐提高,但病床使用率未达最佳状态,剖宫产率较高,各级妇幼保健机构发展不平衡,县区级机构保健服务能力有限,基础薄弱。
Objective To analyze the clinical service provided by the three-level MCH institutions in Gansu Province in order to find out the existing problems and make corresponding suggestions. Methods Based on the National MCH Management Information Network Reporting System, the status of clinical services provided by MCH institutions in Gansu Province in 2010 was investigated and analyzed. The changes of clinical services from 2006 to 2010 were compared. Results In 2010, the average annual outpatient and emergency department of MCH institutions in Gansu Province was 2.15 million, of which maternity and gynecology clinics accounted for 36.27% of the total. Obstetrics and gynecology, pediatrics accounted for more than 70% of the beds, the average utilization rate of beds was 65.84%, of which 128.95% at the provincial level, municipal state level was 62.27%, county level was 51.32%. Cesarean section rate of 39.23% at the highest provincial institutions. In the past five years, the total number of outpatient and emergency departments at all levels, the number of discharges and the utilization rate of hospital beds all showed an increasing trend. Conclusion Generally, the capacity of MCH institutions in Gansu Province gradually improved, but the utilization rate of bed was less than optimal, the rate of cesarean section was higher, the development of MCH institutions at all levels was unbalanced, the health service capacity of county-level agencies was limited, The foundation is weak.