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目的探讨基础的儿科卫生资源配置对婴儿死亡率的影响。方法 2011年1月对广州市12区(县)所有儿科医疗机构进行普查,广州市婴儿死亡来源于广州市社区卫生服务中心/镇医院填写的该辖区儿童自我报告卡。采用Spearman相关分析2011年儿科资源和2014年婴儿死亡率及其变化的相关性。结果 2011年初每100 km~2儿科机构数、医生数、护士数、床位数及每千名儿童拥有儿科医生数均与2014年婴儿死亡率呈负关联,相关系数分别为-0.692、-0.622、-0.594、-0.601和-0.533(P均<0.1)。每100 km~2和每千名儿童拥有儿科医生数、护士数均与2011-2014年婴儿死亡率变化幅度呈负相关(P均<0.1)。结论按地域面积配置的基础儿科医疗资源水平是预示婴儿死亡率较为敏感的指标,按人口数配置的儿科技术力量是控制和降低婴儿死亡率的重要保障。
Objective To explore the impact of basic pediatric health resource allocation on infant mortality. Methods In January 2011, all the pediatric medical institutions in 12 districts (counties) of Guangzhou were surveyed. The infant deaths in Guangzhou were originated from the area self-report card filled in by Guangzhou Community Health Service Center / Town Hospital. Spearman correlation analysis of 2011 pediatric resources and 2014 infant mortality and its relevance. Results The number of pediatric doctors, nurses, beds and pediatricians per 1,000 children per 100km ~ 2 pediatrics departments at the beginning of 2011 was negatively correlated with the 2014 infant mortality rate. The correlation coefficients were -0.692, -0.622, -0.594, -0.601 and -0.533 (all P <0.1). The number of pediatricians per 100 km2 and every 1,000 children has a negative correlation with the magnitude of changes in infant mortality in 2011-2014 (all P <0.1). Conclusions The basic pediatric medical resources allocated by geographical area are indicators of infant mortality. Sensitive pediatric technical strength is an important guarantee for controlling and reducing infant mortality.