摘要
Abstract
Objective To analyze the quality and safety management of maternal and child health institutions which have completed construction of"four major departments"and to provide basis for further improving medical treatment and service quality of maternal and child health care institutions.Methods Investigation was carried out in 262 maternal and child health institutions which completed construction of four major departments,including maternal health care department,child health care department, women's health care department and family planning technical service department in 2016.Data were collected through monitoring and management information network reporting system of national maternal and child health institutions,and provincial,municipal and county level maternal and child health institutions were analyzed from the aspects of human resources,work efficiency, workload,quality of diagnosis and treatment,patient safety and hospital infection prevention and control.Results Neonatal in-hospital mortality of provincial level maternal and child health institutions was 3.33‰,which was higher than that of other two level institutions,and difference was statistically significant(χ2=75.79,P<0.05).This neonatal in-hospital mortality had little difference from that of 3.11‰ in domestic research.Average hospital stay was 7.4 days and utilization rate of beds was 97.8% in provincial maternal and child health institutions,and both exceeded national requirements.Every physician received an average of 9.8 people daily,and average duration of hospitalization of patient was 3.0 days,which were both higher than 8.6 people and 2.6 days respectively in provincial general hospital,showing that staff had heavy work load in provincial maternal and child health institutions.Neonatal hospital infection incidence of municipal maternal and child health institutions was 2.83%,which was higher than that of other two level institutions,and difference was statistically significant(χ2=1 079.67,P<0.05),and also higher than that of 1.25% in children's specialist hospitals recorded in relevant articles.Lowest cesarean section rate in county level maternal and child health institutions was 36.28%,which had statistically significant difference compared with other two level institutions (χ2=328.75,P<0.05),and still slightly higher than that of 34.9% in 2014 national annual report on maternal and child health. Conclusion Maternal and child health care institutions still have many weak links in quality and safety management of health care services.Continuous improvement in resource allocation and heavy workload of staff are necessary for improving quality and level of service.关键词
妇幼保健机构/质量安全/管理/现状Key words
maternal and child health care institutions/quality safety/management/situation分类
医药卫生
