中国全科医学2018，Vol.21Issue(19)：2369-2373,5.DOI:10.12114/j.issn.17-9572.2018.19.021
北京市社区卫生服务中心妇女卫生保健服务能力调查
The Investigation and Analyses of Women's Health Care Service Capability in Community Health Service Centers of Beijing
摘要
Abstract
Objective To observe women's health care service capability of community health service centers in Beijing.Methods By means of purposive sampling,16 districts/counties in Beijing were stratified by urban areas and suburbs/counties,and the samples were taken according to a ratio of 1:1.A total of 93 community health service centers were selected, including 48 centers in the urban area and 45 centers in the suburbs/counties.A self-designed questionnaire was conducted from June to July in 2016.The main contents of the questionnaire were the settings of women's health care departments,the items of women's health care services provided by community health service centers,laboratory tests and imaging examination.A total of 93 questionnaires were distributed and 93 valid questionnaires were returned.The effective response rate was 100.0% (93/93). Results Of the 93 community health service centers,72 (77.4%) centers had specialized gynecologists,and 31 (43.0%) centers had independent gynecological clinics.There was no statistically significant difference in the settings of independent gynecological clinics between community health service centers in urban areas and suburbs/counties of Beijing(P＞0.05). Among 93 community health service centers,47(50.5%) centers provided cervical cancer screening;53(57.0%) centers provided breast cancer screening;28(30.1%) centers provided family planning surgery;57(61.3%) centers provided menopausal care;and 34(36.6%) centers provided antenatal examinations.The proportion of community health service centers providing family planning surgery and menopausal care in urban areas and suburbs/counties were significantly different (P＜0.05),while the proportion of centers providing cervical cancer screening,breast cancer screening and antenatal examinations in urban areas and suburbs/counties had no significant difference(P＞0.05).Among 93 community health service centers,80(86.0%),45(48.4%),15(16.1%),37(39.8%),74(79.6%),86(92.5%),and 23(24.7%) centers provided respectively color Doppler ultrasound,ultrasonic bone density testing,electronic colposcopy,gynecological transvaginal ultrasonography,breast ultrasonography,blood biochemical examination,and female hormone testing.There was significant difference among the proportion of community health service centers providing color Doppler ultrasound,ultrasonic bone density testing,and gynecological transvaginal ultrasonography in urban areas and suburbs/counties(P＜0.05),while the proportion of community health service centers providing electronic colposcopy,breast ultrasonography,blood biochemical examination,female hormone testing had no statistically significant difference(P＞0.05).Conclusion The community health service centers of Beijing have the relevant personnel and facilities to carry out the women's health care with various forms,but it is still necessary to increase the number of gynecological professionals and strengthen settings of gynecological clinics.关键词
妇女卫生保健服务/社区卫生服务/服务模式/服务能力Key words
Women's health services/Community health services/Service pattern/Service capability分类
医药卫生引用本文复制引用
吕凯敏,孙艳格,闫岩,李超..北京市社区卫生服务中心妇女卫生保健服务能力调查[J].中国全科医学,2018,21(19):2369-2373,5.基金项目
2015年首都全科医学研究专项课题(15QK21) （15QK21）
北京市卫生系统高层次卫生技术人才培养计划(2014-3-103) （2014-3-103）
