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目的调查目前我国儿童基本公共卫生服务的实施情况,为进一步调整儿童基本公共卫生服务未来的方向提供线索。方法在我国东、中、西部共抽取8个县区下的22个社区卫生服务机构进行现场调查,并对收集上来的数据和资料进行分析。结果三样本市的儿童建档率等9个指标差异均有统计学意义;8个样本区县部分效果指标差异有统计学意义;样本机构儿保人员的服务能力在儿童疾病筛查和儿童中医药服务方面较为欠缺;多因素回归结果显示年龄、文化程度和从事该工作年限是儿保人员服务能力的影响因素。结论我国儿童基本公共卫生服务经过近几年的不断努力和发展在日趋成熟和完善。今后应进一步提高儿保人员的服务能力,以及政府等相关部门的积极参与和配合。
Objective To investigate the current implementation of basic public health services for children in China and provide clues for further adjustment of the future direction of children’s basic public health services. Methods A total of 22 community health service agencies in 8 counties in the eastern, central and western regions of China were surveyed and the collected data and data were analyzed. Results There were significant differences among the 9 indexes in the three sample cities such as the rate of children’s filing and so on. There were significant differences in some indicators of effect among the eight sample counties and districts. Medical service is relatively lacking; multi-factor regression results show that age, education level and the number of years of service is the influencing factor for the service ability of child-care workers. Conclusion The basic public health service for children in our country is maturing and perfected in recent years through continuous efforts and development. In the future, we should further improve the service capabilities of child protection personnel and the active participation and cooperation of government and other relevant departments.