周文莉 王芳 萬杏花 趙彥紅

摘 要 目的：分析長寧區(qū)社區(qū)兒童保健門診規(guī)范化服務現(xiàn)狀，提出改進策略。方法：于2017年8月采用上海市婦幼保健中心設(shè)計的“2015年兒童保健專業(yè)門診用房、設(shè)備設(shè)施及人員調(diào)查問卷”分別對長寧區(qū)10家社區(qū)衛(wèi)生服務中心的中心主任及從事兒童保健工作的39名專、兼職工作人員進行問卷調(diào)查，整理并分析兒童保健門診的設(shè)備、設(shè)施、服務項目及工作人員基本情況。結(jié)果：長寧區(qū)10家兒童保健門診的主要業(yè)務用房和設(shè)施裝備均配備到位；門診均實行預約制，但80.0%有超量服務現(xiàn)象；周歲營養(yǎng)不良發(fā)生率達標的有4家，周歲肥胖發(fā)生率達標的有5家，其他服務項目的評估結(jié)果均達標。兒童保健工作人員以中、青年居多，但高學歷、高職稱及專職人員較少。結(jié)論：應進一步穩(wěn)定和優(yōu)化兒童保健門診人員隊伍，同時注重人力資源的建設(shè)及相關(guān)兒童指標檢測，為兒童健康成長提供全方位保障。

關(guān)鍵詞 社區(qū)；兒童保健門診；規(guī)范化

中圖分類號：R174 文獻標志碼：A 文章編號：1006-1533（2018）10-0010-04

Investigation of the current status of standardized service for community child health care clinic in Changning District

ZHOU Wenli1， WANG Fang1， WAN Xinhua2， ZHAO Yanhong2

（1. Child Health Care Department of Maternal and Child Health Care Hospital of Changning District， Shanghai 200052， China； 2. Child Health Care Department of Zhoujiaqiao Community Health Service Center of Changning District， Shanghai 200052， China）

ABSTRACT Objective： To analyze the current status of standardized service of Community Child Health Care Clinic in Changning District to put forward some improvement strategies. Methods： In August of 2017， a questionnaire for professional child health care clinic rooms， facilities and personnel in 2015 designed by Shanghai Maternal and Child Health Care Center was used to investigate the directors and 39 special and part-time stuffs who involved in the child care in 10 community health service centers in Changning District. The basic conditions of the equipment， facilities， service items and staff of the children health care clinics were sorted out and analyzed. Results： In 10 child health care clinics， the main clinic rooms and facilities were equipped in place； the appointment system was carried out in all outpatients， but 80% had the phenomenon of excessive service； there were 4 community health service centers that attained the indicator of less than 3% malnutrition at the age of 1 year old， and there were 5 community health service centers that attained the indicator of the incidence of obesity at the age of 1 year old less than 6%； the evaluation results of other service projects were all up to the standard. The majority of children health care workers were middleaged and young， but the high educational level， the high positional title and the full-time staff were less. Conclusion： The child health care outpatient service team should be further stabilized and optimized； at the same time， attention should be paid to the construction of human resources and the detection of related childrens indicators so as to provide a comprehensive guarantee for the healthy growth of children.