论文部分内容阅读
目的:分析“降消”项目地区孕产妇死亡评审结果,了解影响孕产妇死亡的主要因素。方法:利用2007年全国22个省份和新疆生产建设兵团共1 000个“降消”项目县及所属地市、省(自治区、直辖市)孕产妇死亡评审有关资料进行比较和分析。结果:2007年“降消”项目地区可避免孕产妇死亡,县级评审结果为78.4%,地市省级评审为86.0%;县级评审认为74.3%的孕产妇死亡因个人家庭就诊延误所致,而省级评审结果为52.5%的孕产妇死亡因医疗处理延误所致;三级评审一致认为个人家庭知识技能是影响孕产妇死亡的主要因素,其次是医疗保健机构的知识技能;县级评审认为,医疗保健部门的知识技能问题主要存在于乡镇卫生院;省级评审认为,主要存在于县级医疗保健机构。结论:“降消”项目县孕产妇死亡率还有下降空间,改善基层医疗保健机构知识技能,提高公众认知能力是实现这一目标的重要手段。
OBJECTIVE: To analyze the results of the maternal death assessment in the area of “Cancellation” and to understand the main factors affecting maternal mortality. Methods: To compare and analyze the data of maternal deaths appraisal in 1 000 counties in all 22 provinces in China and Xinjiang Production and Construction Corps in 2007 and the cities, provinces (autonomous regions and municipalities directly under the Central Government). Results: Maternal deaths could be avoided in 2007 in areas with “cancellation cancellation”. The county-level assessment result was 78.4% and the prefecture-level provincial assessment was 86.0%. County-level review found that 74.3% of maternal deaths were delayed due to individual family visits , While 52.5% of maternal deaths due to provincial assessment result from delays in medical treatment. Tier-3 judges agree that personal home knowledge and skills are the main factors affecting maternal mortality, followed by knowledge and skills of health care institutions. County Level of assessment that the health care sector knowledge and skills mainly exist in township hospitals; provincial review that mainly exists in the county-level health care institutions. Conclusion: There is still room for reduction of maternal mortality in the project of “reducing consumption”. Improving knowledge and skills of primary health care institutions and improving public cognition are important means to achieve this goal.