儿童保健团队在社区卫生服务中的作用分析(1)
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[摘要] 目的：为提高社区健康服务中心的管理内涵，以试点方式探讨儿童保健团队建设在社区健康服务中的作用。方法：以深圳市宝安区西乡人民医院颐康园社区健康服务中心为试点现场，通过儿童保健团队的建设、工作任务和流程的制订，研究现场的试点，并对试点前抽样调查430名儿童和试点1年后抽样调查436名儿童的相关情况进行调查、统计和分析。结果：试点前后常住、暂住和流动儿童计划免疫规范接种率分别为32.55%、28.02%、9.49%和53.33%、45.41%、30.47%，较规范种率分别为23.26%、36.71%、32.12%和45.56%、50.46%、61.72%，前后比较差异均有高度统计学意义(P<0.01)；试点前后常住、暂住和流动儿童体检达标率分别为30.23%、26.09%、4.38%和48.89%、42.66%、29.69%，基本达标率分别为32.56%、27.05%、27.74%和46.67%、54.13%、64.06%，前后比较差异具有高度统计学意义(P<0.01)；试点前后儿童保健系统管理率分别为48.37%和95.64%，儿童保健覆盖率分别为74.19%和99.08%。结论：儿童保健团队式服务模式，有利于推进社区基本医疗和公共卫生服务的进一步落实，使社区儿童在成长过程中能够享受到可及性、连续性和综合性的社区卫生服务，具有一定的推广价值。
[关键词] 社区健康服务中心；试点；儿童保健团队；作用
[中图分类号] R174 [文献标识码] C [文章编号] 1673-7210(2011)07(a)-122-04
Analysis of child health care team in community health service
LI Jing, YU Xinguo, ZHAO Peng
Xixiang People's Hospital of Bao'an District in Shenzhen City, Guangdong Province, Shenzhen 518102, China
[Abstract] Objective: To discuss the effect of child health care team in community health service in the pilot way for the improvement of the management connotation. Methods: Yikangyuan community health service center in Shenzhen city was chosen as study fields by formulating the construction, working task and process of child health care team and a sampling survey to 430 children before pilot project and 436 cases after pilot project for 1 year for investigation, the relevant situation of the children were analyzed. Results: Before pilot and after pilot project, the rate of EPI standard among the permanent, temporary and floating children were 32.55%, 28.02%, 9.49% and 53.33%, 45.41%, 30.47% respectively, the rate of EPI regulated were 23.26%, 36.71%, 32.12% and 45.56%, 50.46%, 61.72% respectively. There were significant differences before and after pilot project (P<0 ......
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