甘肃省妇幼保健机构公共卫生职能履行情况研究.docVIP

  甘肃省妇幼保健机构公共卫生职能履行情 况研究# 王称1，杨兰2，仇杰2，郭金仙2，李蓉2** 5 10 15 20 25 30 35 40 45 （1. 兰州大学公共卫生学院； 2. 甘肃省妇幼保健院） 摘要：目的 了解各级妇幼保健机构公共卫生职能履行情况，进一步为妇幼保健机构建设与 发展提供依据及建议。方法 依托《全国妇幼卫生机构管理信息网络报告系统》，对 2007-2009 年甘肃省 100 所妇幼保健机构资源与运营情况进行调查。结果 从事保健人员比例省、市级 妇幼保健机构低于卫生技术人员总数的 30%，县级接近 50%，但平均每所机构专职保健人 员不足 10 人；群体保健工作支出占财政补助收入的百分比呈逐年下降趋势；各级机构公共 卫生职能履行较好，县区级机构产科并发症及剖宫产监测等工作开展比例低于 35%；三级 机构妇幼保健信息系统配置水平较低。结论 甘肃省各级妇幼保健机构妇幼保健公共卫生职 能履行的数量和质量仍需提升，应进一步加大对妇幼卫生资金投入，规范、加强妇幼保健机 构运行机制。 关键词：妇幼保健机构；公共卫生职能；群体保健 中图分类号：R-172 The performance of public health function in different levels of maternal and child health institutions in Gansu province Wang Chen1, Yang Lan2, Qiu Jie2, Guo Jinxian2, Li Rong2 (1. School of Public Health，Lanzhou University; 2. Gansu Provincial Maternal and Child Health Hospital) Abstract: Objective To investigate performance of the public health function passing women and children health care institutions with the aim of finding existed problems and providing scientific basis and recommendation on formulating the development for Maternal and Child Health （MCH） institution. Methods Based on the data collected from “National Management Information Web-based Reporting System of Women and Children Health Facilities”, health resources and performance of 100 MCH institutions in Gansu province from 2007 to 2009 were investigated. Results The percentage of maternity and child care staff, at provincial and municipal level, accounting for health professionals was less than 30%. And the percentage was close to 50% in county, actually population health care was lack of the personnel on average about each women and children health care institution. The percentage of expenditures about population health care which accounts for the income from financial subsidies had reduced year by year; Women and children health care institutions at all levels could accomplish their public health function better than before, whereas the percentage of supervision of obstetric complications and cesarean sectio