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目的:通过分析我国《出生医学证明》签发现状及其影响因素,找出存在的问题,提出可能解决的政策建议,以期更好地规范《出生医学证明》的管理。方法:对1996~2012年全国空白《出生医学证明》发放情况及国家对各省督导调研掌握情况进行分析。结果:约6千万新生儿未领取《出生医学证明》,各年度《出生医学证明》未领取数量均较大,累计签发比例较低,且签发不够规范。结论:《出生医学证明》签发数量和签发质量受多方面因素影响,可能通过加强宣传以提高群众的知晓率和重视程度;加强监管,取消阻碍《出生医学证明》签发的附加条件;加强业务能力和职业道德培训,提高工作人员的政策执行力。
OBJECTIVE: To find out the existing problems and propose the possible policy suggestions by analyzing the status quo of the “birth medical certificate” and its influencing factors in China so as to better standardize the management of “medical certificate of birth”. Methods: From 1996 to 2012, the blank “birth medical certificate” issued by the state as well as the state supervision and inspection of the provinces to grasp the situation were analyzed. Results: About 60 million newborns did not receive the “Medical Certificate of Birth”, and the number of “Medical Certificate of Birth” in each year was large, with a low cumulative issuance rate and irregular issuance. Conclusion: The number and quality of the medical certificate of birth are affected by many factors, which may be through increasing publicity to raise public awareness and emphasis; strengthening supervision and removing the additional conditions that hinder the issuance of “medical certificate of birth”; strengthening business capability And professional ethics training to improve the staff’s policy implementation.