重庆市涪陵区儿童保健管理的现状与对策研究

发布时间：2018-04-15 05:25

本文选题：儿童保健 + 管理　；参考：《重庆医科大学》2012年硕士论文

【摘要】：目的：通过了解重庆市涪陵区儿童保健管理现状，发现其中的主要问题，为全区及重庆市其他区县卫生行政部门完善儿童保健管理体制提供借鉴。方法：采用文献研究法研究国内外儿童保健管理现状；采用专家访谈法探讨重庆市涪陵区儿童保健管理体制中存在的主要问题；采用问卷调查法，随机抽取100名儿童对重庆市涪陵区儿童保健管理满意度进行问卷调查。运用EpiData3.1软件建库录入已有数据，及SPSS17.0软件对统计指标数据并进行分析。结果：重庆市涪陵区儿童保健管理的大部分指标数据达到了“两纲”目标，但有少部分指标有待进一步提高；儿童保健供需矛盾、儿童保健费用投入不足和儿童保健管理机制尚不完善、儿童保健管理能力不足、儿童保健队伍建设滞后、儿童保健宣传与教育力度不够和儿童保健城乡差距较大是重庆市涪陵区儿童保健管理体制中存在的7个主要问题；儿童保健受益群体对儿童免疫接种、儿童保健宣传力度和儿童系统管理较满意，，对儿童保健卫生费用投入、儿童保健政策和儿童保健门诊基础设施极不满意。结论：应加强政府相关部门引导；重视和提高婚前医学检查率，提高新生儿质量；完善儿童发展纲要（规划）的监测统计体系；进一步严格考核制度，确保儿童发展纲要（规划）顺利完成；进一步深化妇女儿童卫生保健管理，不断满足妇女儿童健康需求；重视孕产妇及胎儿保健；积极开展新生儿筛查；加强儿童常见病防治和保健；加强严重危及儿童生命的疾病防治；进一步加强儿童免疫接种管理；加大合格碘盐食用工作力度。
[Abstract]:Objective: to find out the main problems in the management of children's health care in Fuling district of Chongqing, and to provide reference for the health administrative department of the whole district and other counties of Chongqing to perfect the management system of children's health care.Methods: the present situation of child health care management at home and abroad was studied by literature research, the main problems in the management system of child health care in Fuling District of Chongqing City were discussed by expert interview, and the questionnaire survey method was used.A questionnaire survey was conducted among 100 children in Fuling district of Chongqing.EpiData3.1 software is used to build the database to input the existing data, and SPSS17.0 software is used to analyze the statistical index data.Results: most of the index data of child health care management in Fuling district of Chongqing have reached the target of "two key principles", but some indexes need to be further improved, the contradiction between supply and demand of child health care,The child health care management mechanism is not perfect, the child health care management ability is insufficient, and the construction of child health care team is lagging behind.There are seven main problems in the management system of children's health care in Fuling district of Chongqing, such as the insufficient propaganda and education of children's health care and the large gap between urban and rural areas of children's health care, and the children's health care beneficiary groups are immunized against children.The children's health care propaganda and the children's systematic management are satisfied, and they are not satisfied with the cost of the children's health care, the children's health policy and the infrastructure of the outpatient clinic for the children's health care.Conclusion: it is necessary to strengthen the guidance of relevant government departments, attach importance to and improve the rate of premarital medical examination, improve the quality of newborns, improve the monitoring and statistical system of child development program (planning), and further strengthen the examination system.(C) ensure the successful completion of the child development programme (programme); further deepen the management of women's and children's health care and continuously meet the health needs of women and children; pay attention to maternal and fetal health; and actively carry out neonatal screening;To strengthen the prevention and treatment of common diseases and health care of children; to strengthen the prevention and treatment of diseases that seriously endanger the lives of children; to further strengthen the management of immunization of children; and to strengthen the work of consuming qualified iodized salt.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R179

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