基层产后访视服务的模式的探讨.docVIP

基层产后访视服务的模式的探讨 　　【摘要】目的 了解双流县基层产后访视情况，进一步探索适合基层的产后访视服务模式。方法 由基层卫生院（社区卫生服务中心）对全县9家产科执业医疗机构分娩的产妇和新生儿全部进行访视；收集2008年10月1日至2010年9月30日全县产妇、新生儿的产后访视数据进行分析；同时入户或电话抽查产妇，了解产后访视服务满意度情况。结果 产后服务模式改变后，未影响全县产后访视率和质量。2008、2009、2010年产妇访视率分别为98.31%、99.31%、99.53%，产后访视服务满意度分别为89.21%、94.19%、97.42%，产后访视率和访视满意度均逐年提高。结论 县妇幼保健院利用妇幼保健公共卫生管理职能，充分利用妇幼三级网络和妇幼保健“一卡通”信息管理，各部门相互合作，完成产后访视服务工作是可行的。 　　【关键词】产后访视 服务模式 基层 　　中图分类号：R473.71 文献标识码：A 文章编号：1005-0515（2011）5-016-02 　　Probe about the service pattern of post- partum visit in grassroots communities 　　Song Zuling 　　（Maternal and Child Health Hospital of Shuangliu county, Chengdu, Sichuan 610200） 　　【Abstract】Objective To learn the present situation of post- partum visit in grassroots communities in Shuangliu county. Methods Grassroots hospitals (community health service centers) paid post- partum visits to parturients and neonates who delivered in 9 obstetric licensed hospitals; Collecting and analyzing all the post- partum visit data from October 1 in 2008 to September 30 in 2010; to learn the satisfaction degree of post- partum visit by entering household or telephone check. Results The coverage and the quality of post- partum visit were not affected after the service pattern changed. The coverage in 2008, 2009 and 2010 was 98.31%, 99.31% and 99.53% respectively; the rate of puerperal infection was 0, 0.1% and 0 respectively. The coverage and the satisfaction degree of post- partum visit were improved year by year. Conclusion Using management function of the maternal and child health, information administration of three-level network and “easy card”, and mutual cooperation among departments to complete the post- partum visit service is feasible. 　　【Key words】 Post-partum visit, service pattern, grassroots communities 　　 　　产后访视是住院分娩服务的延续，产后保健服务对于母儿健康和生存质量至关重要，做好产后产妇和新生儿访视是妇幼保健工作的重要组成部分，是控制孕产妇死亡和新生儿死亡的重要措施之一。通过开展产后产妇和新生儿的访视可了解产妇的生理、心理、喂养及护理新生儿情况，及时发现问题,给予健康教育指导，帮助母亲转变角色，促进宝宝健康成长，有利于母亲身体恢复健康。双流县地域大，流动人口多，每年出生的新生儿多。随着助产技术服务上移，保健服务下靠的产科服务模式的