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目的分析余姚市2010—2016年《出生医学证明》的管理情况,为进一步加强《出生医学证明》管理提供依据。方法收集2010—2016年余姚市13家医疗机构和1家管理机构上报的《出生医学证明》年度管理使用情况报表,对签发、换发、补发和废证等情况进行统计分析。结果 2010—2016年余姚市《出生医学证明》年平均首次签发率为97.22%,当年出生签发率为96.94%,换发率为1.01%,补发率为1.00%,废证率为0.67%。这7年间当年出生签发率为95.31%~98.86%,均达到国家和宁波市要求,且呈逐年上升趋势(P<0.05);废证率呈逐年下降趋势,由2.00%降至0.22%(P<0.05)。结论余姚市《出生医学证明》签发率有所提高,废证率降低,管理工作已逐步规范。
Objective To analyze the management of “Birth Medical Certificate” from 2010 to 2016 in Yuyao City and provide the basis for further strengthening the management of “Birth Medical Certificate”. Methods The annual management status of “medical certificate of birth” reported by 13 medical institutions and one management institution in Yuyao from 2010 to 2016 was collected and analyzed statistic analysis of issuing, renewal, reissue and invalidation. Results The average initial issuance rate of “Medical Certificate of Birth” was 97.22% in 2010 and 2016 respectively. The issuance rate at that time was 96.94%, the replacement rate was 1.01%, the replacement rate was 1.00%, and the debrief rate was 0.67%. The incidence of births was 95.31% ~ 98.86% during the seven years, reaching the requirements of the state and Ningbo City, and showed an upward trend year by year (P <0.05). The rate of waste certificates decreased year by year from 2.00% to 0.22% (P <0.05). Conclusion The issuance rate of “birth medical certificate” in Yuyao City has been raised, the rate of dismissal certificate has been reduced, and the management has been gradually standardized.