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目的通过对云南省2010-2013年《出生医学证明》的首次签发、换发、补发和废证等情况分析,为进一步加强《出生医学证明》规范化管理提供科学依据。方法根据2010-2013年云南省《出生医学证明》管理使用情况年度统计表,按补发、换发、废证等原因进行分类,使用Excel软件录入及折线图进行分析。结果 12010-2013年医疗保健机构内出生的签发率为先升后降趋势;2首次签发率呈逐年上升趋势;32010-2013年医疗保健机构外出生的签发率呈先降后升变化;4补发率逐年下降。结论云南省各级医疗保健机构《出生医学证明》管理工作逐步规范,但仍然存在诸多问题,需进一步加强监督和管理。
Objective To provide a scientific basis for further strengthening the standardized management of “medical certificate of birth” by analyzing the first issuance, renewal, replacement and expropriation of “medical certificate of birth” from 2010 to 2013 in Yunnan Province. Methods According to the annual statistics of “Medical Certificates of Birth” in Yunnan Province from 2010 to 2013, the questionnaires were classified according to the reasons such as replacement, replacement and invalidation, and the data were analyzed by Excel software and line charts. Results The issuance rate of births within healthcare institutions between 12010 and 2013 was the first to increase and then decrease; the first issuance rate showed a rising trend year by year; the issuance rate of health care institutions outside the health care institutions increased and then decreased from 32010 to 2013; Hair rate decreased year by year. Conclusion The management of “medical proof of birth” at all levels of health care institutions in Yunnan Province has been gradually standardized. However, there are still many problems that need to be further strengthened in supervision and management.