摘要
目的探讨在城乡结合部社区卫生服务中心开展妇幼保健工作的方法和管理策略。方法以广州市的城乡结合部荔湾区22家社区卫生服务中心开展社区妇幼保健工作为例,阐述和评价社区妇幼保健的工作现状;查阅文献对现阶段社区妇幼保健的服务现状进行分析。结果荔湾区22家社区卫生服务中心妇幼保健网络健全,人员、场地、设备、服务项目基本能满足妇幼人群的基本需求,但社区妇幼保健服务项目局限,设备设施、人员素质有待进一步的改善和提高。查阅文献分析认为现阶段社区妇幼保健工作存在地方政府认识不到位、健康教育单一、流动人口管理亟须加强、妇幼卫生保健组织结构条块分割、人员整体素质不高、服务内容不能满足群众需求、双向转诊机制不健全、与其他卫生专业部门没有实现优势互补等问题。结论城乡结合部的社区妇幼保健服务应加强政府领导、部门参与,针对社区流动人口问题,制定工作方案,各部门齐抓共管;充分利用社区资源,重点加强健康教育,提高群众自我保健意识和对社区妇幼保健资源的服务利用率;加强社区妇幼队伍建设,提升服务内涵,进一步满足社区群众的妇幼保健服务需求。
Objective To explore the methods and management strategy of the maternal and child health work in community health service centers in the urban - rural fringe areas. Methods The maternal and child health work of 22 community health service centers in urban - rural fringe areas of C-uangzhou Liwan District was taken as an example to explain and evaluate the status of community maternal and child health. The service status of community maternal and child health was analyzed accord- ing to the reference literature. Results The 22 community health service centers in Liwan district had a perfect network, in which the personnel, facilities, equipment and services can essentially meet the basic needs of the population of women and chil- dren. However, there were limitations of community maternal and child health services, and equipments, facilities, quality of personnel remained to be improved and raised. Literature analysis of maternal and child health showed there were many problems such as no necessary attention to it paid by the local government, singleness of health education, urgency for strengthening the management of floating population, fragments of the maternal and child care organizations, the low overall quality of the staff, under demand of the services for the masses, distemperedness of two - way referral mechanism, and no complementary advanta- ges with other health professional departments. Conclusion The maternal and child health work in the urban - rural fringe com- munity should be strengthened in the leadership of the Government and sector participation. A work program aiming to the floating population in the community needs to be made, and the work should be commonly done by multiple departments. The community resources should be fully used, the health education should be specially enhance. The public awareness of self - care and the utili- zation rate of the maternal and child health care resource in the community should be raised. The building of health personnel for the maternal and child care should be strengthened, and the service content be increased, in order to further meet the needs of community population for the maternal and child health services.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第34期3850-3854,共5页
Chinese General Practice
关键词
社区卫生服务
城乡结合部
妇幼保健
策略
Community health services
Urban -rural fringe areas
Matemal and child health
Strategy
