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目的了解上海市浦东新区各级医疗机构儿童保健门诊规范化服务现状,查找存在问题,提出改进对策,提高服务能力。方法采用上海市妇幼保健中心统一制定的《儿童保健专业门诊用房、设备设施及人员调查问卷》,对全区50家儿童保健门诊进行现场调查。结果根据《上海市儿童保健门诊规范要求》规定,45家社区卫生服务中心儿童保健门诊房屋设置较5家二级及以上医疗机构儿童保健门诊房屋设置完善,但均存在设施设备欠缺问题。全区共配备儿童保健人员181人,以临床医师为主、专职为主;社区卫生服务中心儿童保健人员以初级职称为主,二级及以上医疗机构儿童保健人员以中高级职称为主。均实行门诊预约制,绝大多数儿童保健门诊存在超量服务现象。结论卫生行政部门及各级医疗机构应重视儿童保健门诊的规范化建设,完善网络建设与硬件设施建设,优化人员配置和业务培训,加强儿童保健健康教育,全面提高儿童保健服务能力。
Objective To understand the status quo of standardized services for children’s health clinics at all levels of medical institutions in Pudong New Area, Shanghai to find out the existing problems, propose improvement measures and improve service capabilities. Methods A questionnaire survey on the housing, equipment and personnel of children’s health clinics was made by Shanghai Maternal and Child Health Center. Fifty children’s health clinics in the district were surveyed on site. Results According to the “Rules and Regulations for Child Health Clinic in Shanghai”, 45 community health service centers set up more child health care outpatient facilities than those of 5 second-class and above health care institutions, but all lacked facilities and equipment. The region has a total of 181 child health personnel, mainly to clinicians, full-time based; community health service centers to primary health care workers to primary-level, secondary and above medical institutions to senior staff with senior professional titles. Outpatient booking system are implemented, the vast majority of children’s health clinic there is excess service. Conclusion The health administrative departments and medical institutions at all levels should attach importance to the standardization of child health clinics, improve network construction and hardware facilities, optimize staffing and business training, strengthen child health education, and comprehensively improve child health care services.