摘要
目的了解我国妇女常见病普查工作管理及相关政策情况,为制定妇女常见病普查相关政策提供科学依据,以提高妇女常见病工作管理和服务质量。方法于2007年12月至2008年1月选取北京、福建、山西、湖北、安徽、黑龙江、新疆、四川、甘肃、广西为调查现场,按分层随机抽样原则,总计抽取70所省、市、县各级妇幼保健机构,对其妇女常见病普查管理工作进行定量及定性调查。结果调查的10所省级妇幼保健机构中,有4所建立了妇女病普查管理工作制度;18所地市级妇幼保健机构中,有8所建立了妇女病普查管理工作制度(44.4%);42所县区级妇幼保健机构中,有18所建立了相应工作制度(42.9%)。省级妇幼保健机构几乎没有开展妇女病普查工作的监督指导。18所地市级妇幼保健机构中,有6所开展了妇女病普查工作的监督指导(占33.3%)。42所县区级妇幼保健机构中,只有17所开展了督导工作(占40.5%)。少数省/直辖市有全省/市统一的多部门合作妇女病普查专项政策,部分省/直辖市有全省/市统一的相关政策,其中有内容涉及妇女病普查工作要求。只有个别省/自治州/直辖市每年卫生局有一定的财政支持,免费为户籍人口妇女提供宫颈癌和乳腺癌的筛查。部分省/自治区/直辖市对妇女病普查有常规的督导、考核、质量评估工作。结论妇女常见病普查管理现况堪忧,存在制度缺失、监督不足、信息上报不准确等多方面的问题。因此有必要由卫生部出台制定统一的《妇女常见病普查工作管理规范》,进一步制订长期的、可持续性的妇女常见病普查政策,使我国妇女常见病工作能够实现常规化、规范化、持续化、全覆盖。
Objective To learn status of common gynecological diseases screening management and policies in China,provide scientific basis for making common gynecological diseases screening policy.Methods Investigate 70 maternity and child health care organizations（MCH organs）Selected by cluster sampling from Beijing,Fujian,Shanxi,Hubei,Anhui,Heilongjiang,Xinjiang,Sichuan,Gansu,Guangxi Province in Dec 2007-Jan 2008.Results There were 4 provincial level MCH organs established duty of common gynecological diseases screening management in 10 provincial level MCH organs investigative（40%）,8 prefectural level MCH organs established duty of common gynecological diseases screening management in 18 prefectural level MCH organs investigative（44.4%）,18 county level MCH organs established duty of common gynecological diseases screening management in 42 county level MCH organs investigative（42.9%）.There was hardly any provincial level MCH organ which had proceeded supervise and direct on common gynecological diseases screening.There were 6 prefectural level MCH organs which had proceeded monitoring of common gynecological diseases screening in 18 prefectural level MCH organs investigative（33.3%）.There were 17 county level MCH organs which had proceeded monitoring of common gynecological diseases screening in 42 county level MCH organs investigative（33.3%）.Parts of provinces have established policies of common gynecological diseases screening.Only a few province had certain financial Support for common gynecological diseases screening every year.Part of provinces had implemented routine supervising,direct and assessment.Conclusions There are many problems in management of common gynecological diseases screening.Therefore,management benchmarking of common gynecological diseases screening and long-term polices of common gynecological diseases screening should be published by MOH,to accomplish common gynecological diseases screening became routine,standardized,Continuing,all women covered.
出处
《中国妇幼卫生杂志》
2012年第3期145-148,共4页
Chinese Journal of Women and Children Health
关键词
妇女常见病
管理
政策
Common gynecological diseases
Management
Policies
