尚晓瑞,韩历丽,潘　迎,赵　娟

(首都医科大学附属北京妇产医院北京妇幼保健院保健部,北京100026)



【妇幼卫生服务研究】

2013年北京市区县妇幼保健机构基本情况分析

尚晓瑞,韩历丽,潘迎,赵娟

(首都医科大学附属北京妇产医院北京妇幼保健院保健部,北京100026)

目的分析北京市区县妇幼保健机构的服务开展和人力配备情况，评价机构发展现状，为妇幼机构的良好发展与科学规划提供数据支持。方法采用问卷调查对2013年北京市16所区县妇幼保健机构的人力资源配置、个体服务开展、业务管理与技术指导数据进行描述性统计分析。结果16所机构的编制缺乏比例、卫生技术人员比例和大学及以上学历人员比例分别为81.3%、 81.1%和55.2%。平均年门诊服务人次为21.6万，平均年出院人次为4 067，床位总使用率为81.5%。在个体保健服务和业务管理与技术指导工作中，覆盖率达到100.0%的项目分别占27.4%和72.2%，未开展服务项目的主要原因均为人员不足。平均编制缺乏数高于全国各级水平；卫生技术人员比例低于全国各级水平。2010年至2013年人力资源配置的多项指标均保持逐年增长的趋势；住院医疗服务的多项指标在2012年至2013年出现了下降。结论北京市区县妇幼保健机构的人员整体素质逐年提高，保健服务稳步推进；同时，妇幼卫生人才队伍亟待加强，妇幼保健机构建设依然落后，接诊服务能力仍有待提高，妇幼保健机构间发展不平衡现象依然明显。

妇幼保健机构；资源；人力配备； 服务开展

[Abstract]Objective To analyze service delivery and staffing situation of district and county leveled maternal and child health (MCH) institutions in Beijing and to evaluate their development status so as to provide data support for their good development and scientific planning. Methods Questionnaires were designed to carry out a descriptive statistical analysis on human resource allocation, individual service delivery, business management and technical guidance of 16 MCH institutions at district and county level in Beijing. Results Disproportionate staff establishments were seen in all 16 institutions. Deficient proportion, proportion of health professionals and staff, proportion of staff with bachelor degree or above was 81.3%, 81.1% and 55.2%, respectively. The average amount of outpatients and discharged patients was 216 000 and 4 067, respectively. The total utilization rate of beds was 81.5%. Totally 27.4% of the individual health care services and 72.2% of the business management and technical guidance work had reached a coverage rate of 100.0%. Being understaffed was the main reason for not carrying out service projects. The general situation of lacking staff establishment was severer than that of the whole nation at all levels. Besides, the proportion of health professionals was lower than that of the whole nation at all levels. A number of indicators of human resource allocation were growing year by year from 2010 to 2013 while many indicators of inpatient medical services showed decrease from 2012 to 2013. Conclusion The overall quality of medical personnel in MCH institutions at district and county level in Beijing is improved year by year. Moreover, healthcare service has been promoted steadily. Meanwhile, staff construction of MCH personnel should be strengthened. Infrastructure is still lagging behind and level of service needs to be improved. In addition, unbalanced development still exists between MCH institutions.

[Key words]maternal and child health (MCH) institutions; resources; human resource allocation; service development

2014年是《中华人民共和国母婴保健法》颁布20周年，是生育政策调整的重要一年，也是推进“十二五”时期妇女、儿童发展规划的关键之年。……