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1、2012年昆山市产科现状分析与对策-妇产医学论文2012年昆山市产科现状分析与对策金丽华昆山市妇幼保健所,江苏昆山215300[摘要]目的了解全市产科服务现状,以便对各接产机构的产科服务能力与潜力做出客观评价,为卫生行政部门制定缓解产科医疗服务供需矛盾的决策提供依据。方法对全市所有助产服务机构产科资源利用和服务数量进行调查。结果2012年全市共有产科医院11家其中一级医院7家,二级医院2家,三级医院2家。分娩产妇17728人,其中在一级医院、二级医院、三级医院分娩占比分别是15.90%、20.16
2、%、63.94%。产妇分娩与床位比44.32:1,其中一级医院、二级医院、三级医院的产妇分娩与床位比为17.29:1、53.36:1、66.68:1。产科人均助产服务率84,其中一级医院、二级医院、三级医院分别为43、80、113。全市产科人员与床位比为0.91:1。结论产科服务的供需矛盾集中凸显”结构性”问题,服务对象集中于三级医院,呈现”重心上移”,而使服务资源出现”超负荷”与闲置并存现象,急需以”缓解短期矛盾和解决深层次问题”双管齐下为原则,从供需两方考虑解决对策。[关键词]资源;产科;服务
3、[中图分类号]R471 [文献标识码]A [文章编号]1672-5654(2014)09(c)-0055-02TheanalysisandCountermeasuresofKunshanobstetricSituationin2012JINLihuaInstitutionOfMaternalAndChildHealth,Jiangsu215400,China[Abstract]ObjectiveUnderstandthestatusofthecityacute;sobstetricserv
4、ices,inordertomakeanobjectiveassessmentofthecapabilitiesandpotentialofeachobstetricservicesconfinementsagencies,toprovideevidenceofeasethecontradictionbetweensupplyanddemandobstetriccareforthehealthadministrativedepartments.MethodsTheresourceutilizati
5、onandthenumberofobstetricservicesofallmidwiferyserviceswereinvestigated.ResultsTherewere11maternityhospitalsinourcity,including7Class-Ihospitals,2Class-Ⅱhospitals,2Class-Ⅲhospitals.ThenumberofChildbirthpregnantwomenwas17,728,andthepercentsofthatinClas
6、s-Ihospital,Class-Ⅱhospital,Class-Ⅲhospitalwere15.90,20.16,63.94.Thematernitybedsratiowas44.32:1,whileClass-Ihospital,Class-Ⅱhospital,Class-Ⅲhospitalwithmaternitybedsratioswere17.29:1,53.36:1,66.68:1.Therateofobstetricsmidwiferyservicespercapitawas84,
7、andtherateofthatinClass-Ihospital,Class-Ⅱhospital,Class-Ⅲhospitalwere43,80,113.Theratioofobstetricpersonnelandbedswas0.91:1.ConclusionObstetricservicesfocusedonsupplyanddemand,andhighlightedthe“structural”problems,clientsconcentratedinClass-Ⅲhospital,
8、presented“focusontheshift,”leavingtheserviceresourcesappearoverloadandidlecoexistencephenomenon.Theurgentneedtoalleviatetheshort-termconflictsandresolvedeep-seatedproblems,toconsidersolutionsfromboththesupplyanddemand.[Keywords]Resources;Obste