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目的了解安徽省助产服务资源状况,为加强助产服务提供基础性数据。方法采用普查方式,利用自行设计的调查表,收集全省各级各类助产机构的助产服务资源数据。结果 2015年,全省有产科床位的医疗保健机构总数为1 358家,其中基层卫生机构786家(57.9%)、民营医院269家(19.8%)、公立医院230家(16.9%)、妇幼健康服务机构52家(3.8%)。共有产科床位23 898张;共有产科医生6 798人,助产士4 674人,合计11 472人。在报告有分娩量的1 203家(88.6%)助产机构中,2015年分娩总数为70 5050人,其中公立医院和民营医疗分娩量较大,妇幼健康服务机构的分娩量47 296人,占6.7%。在有分娩量又有助产技术人员的1 202家机构中,人均助产人数较少的以基层卫生机构为主,人均助产人数较多的以公立医院和民营医院居多。人均助产人数超过200人的有22家机构,绝大多数分布在皖北地区。平均床位利用人数较少的以基层卫生机构居多,床位利用人数较高的以公立医院和民营医院居多。床均利用人数超过100人的有8家机构,主要分布在皖北地区。结论安徽省助产服务资源略高于全国平均水平;在助产服务中,民营医院发挥着重要作用,妇幼健康服务机构未发挥应有作用,乡镇卫生院的潜力有待开发;产科“一医难求”、“一床难求”的现象在皖北地区比较突出。
Objective To understand the status of midwifery service resources in Anhui Province and provide basic data for strengthening midwifery service. Methods The survey method was used to collect midwifery resource data of various kinds of midwifery institutions at all levels in the province by using self-designed questionnaires. Results In 2015, the total number of health care institutions with maternity beds in the province was 1 358, of which 786 (57.9%) were primary health institutions, 269 (19.8%) were private hospitals, 230 (16.9%) were public hospitals, and maternal and child health Service agencies 52 (3.8%). A total of 23,898 beds in obstetrics; a total of 6 798 obstetricians, 4,674 midwives, a total of 11 472 people. Of the 1,203 (88.6%) midwives reporting deliveries, the total number of deliveries was 70,5050 in 2015, with a large volume of public hospital and private medical deliveries and 47,296 childbirths for MCH services, accounting for 6.7%. Among 1,202 institutions with delivery and midwifery technicians, the majority of public hospitals and private hospitals are dominated by grassroots health institutions with a small average number of midwifery per births and a large number of midwifery per capita births. There are 22 organizations that have more than 200 midwifery per births, most of whom are located in northern Anhui. The average number of beds for the use of less number of primary health institutions are mostly beds to use a higher number of public hospitals and private hospitals are mostly. The beds are used by more than 100 people in 8 agencies, mainly in northern Anhui. Conclusions Anhui midwifery service resources slightly higher than the national average; midwifery services, private hospitals play an important role, MCH institutions did not play their due role, the potential of township hospitals to be developed; obstetrics Difficult to find “, ” A hard to find "phenomenon is more prominent in northern Anhui.