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目的了解浙江省健康小屋的建设与使用现状,为健康小屋的规范化建设和维持运行提供建议。方法应用中国疾病预防控制中心开发的数据采集系统,对浙江省2007年9月1日至2015年6月15日建成并投入使用的健康小屋进行问卷调查,主要内容为健康小屋的基本情况、工作开展和管理维护等。每家健康小屋的负责人完成1份调查问卷,由县(市、区)疾病预防控制中心录入信息系统,采用SPSS 13.0软件对数据进行Kruskal-Wallis秩和检验、χ~2检验。结果浙江省共创建健康小屋835家,主要依托街道社区卫生服务中心(站)或社区卫生服务站(村卫生室)而建立,占81.1%;健康小屋平均占地面积为28.2 m~2,有独立空间的共481家(57.6%),有相对独立空间的共263家(31.5%);共覆盖常住人口约2 850万;每日开放的健康小屋有251家(30.1%),工作日对外开放的有326家(39.0%),每日平均开放时间为8.6 h;平均基础建设投资费用为12.63万元,2014年日常运转投入平均为4.15万元;均配备身高体重计、腰围尺、血压计等设备,另配血糖仪等1种或多种设备,健康小屋年平均使用次数为3 205人次/年;458家(54.9%)有信息管理系统,229家(27.4%)可实现区域内、外系统互联互通;796家(95.3%)的健康小屋工作人员对居民进行健康教育;765家(91.6%)对设备和仪器进行日常维护和校准。国家级示范区健康小屋在2014年日常运转投入费用、年平均使用次数、检测数据用于更新系统档案及仪器日常维护等部分管理服务情况方面优于省级示范区、非示范区健康小屋,差异均有统计学意义(P<0.05)。结论浙江省健康小屋建设已经具有一定规模,数量相对较多,设置较优;但存在运转经费欠缺、工作人员不足、检测数据欠缺管理和利用、运行维护不足等问题,应进一步探索适宜模式,使健康小屋长期、良好地运行和发展。
Objective To understand the status quo of the construction and use of health cabins in Zhejiang Province and to provide suggestions for the standardization and maintenance of health cabins. Methods A data collection system developed by China Center for Disease Control and Prevention was used to conduct a questionnaire survey on healthy lodges constructed and put into use in Zhejiang Province from September 1, 2007 to June 15, 2015. The main contents are the basic situation and work of health lodges To carry out and management and maintenance. The person in charge of each health cabin completed a questionnaire, and the information system was entered into by the CDC of the county (city, district). The data were analyzed by Kruskal-Wallis rank sum test and SPSS 13.0 software using the χ ~ 2 test. Results A total of 835 health cabins were set up in Zhejiang Province, mainly based on the community health centers (stations) or community health service stations (81.1%) in the streets. The health cabins occupied an average area of 28.2 m 2 A total of 481 (57.6%) of the independent space, a total of 263 (31.5%) with relatively independent space; covering a total population of about 28.5 million; 251 (30.1%) healthy huts daily open to working days 326 (39.0%) were open to the public, with an average daily opening time of 8.6 hours. The average infrastructure investment cost was 126,300 yuan. In 2014, the average daily operation cost was 41,500 yuan. Both were equipped with height scales, waist circumference ruler, blood pressure The average number of health cabins used per year was 3,205 person-times per year; 458 (54.9%) had information management systems and 229 (27.4%) could achieve regional , External system interoperability; 796 (95.3%) health cabin staff to residents for health education; 765 (91.6%) of the equipment and equipment for routine maintenance and calibration. In 2014, the health cabins of national-level demonstration area were better than the provincial-level demonstration area and non-demonstration area health cabins in terms of daily operation input costs, annual average usage times and test data for updating part of management services such as system files and routine maintenance of equipment. All were statistically significant (P <0.05). Conclusion The construction of health lodges in Zhejiang Province has a certain scale, the quantity is relatively large and the setting is better. However, there are some problems such as lack of running funds, lack of staff, lack of management and utilization of testing data, lack of operation and maintenance, etc., and further explore suitable modes Health cottage long-term, well run and development.