基本公共卫生项目对于促进孕产保健服务利用的效果评价

发布时间：2018-04-17 21:56

本文选题：基本公共卫生服务项目 + 孕产保健　；参考：《中国妇幼保健》2016年07期

【摘要】：目的比较基本公共卫生服务项目配套政策实施前后,上海市浦东新区孕产妇保健服务利用的改善程度,提出相应政策建议。方法采用前后2次横断面回顾性调查的方式,对主要在上海市浦东新区接受孕产保健服务的婴儿母亲进行问卷调查,比较基本孕产保健服务利用率和服务满意度等指标的差异。结果配套政策实施后,孕产保健服务利用大部分指标有所上升;政策实施前后,非本市户籍孕产妇孕期产前检查率、5次及以上产前检查率、9次及以上产前检查率差异有统计学意义(χ~2=5.10、4.20、5.02,均P0.05);Logistic回归模型分析显示,免费政策实施后,孕期9次及以上产前检查率高于政策实施前(OR=1.445,P0.05);服务利用者对产后访视服务综合满意度及收费方面、服务态度、服务内容、医患交流等4个服务指标满意度均有提高,差异均有统计学意义(t=-5.62、-6.83、-4.38、-5.05、-4.91,均P0.01)。结论基本公共卫生服务减免政策有助于改善孕产保健服务利用率及满意度,对于促进均等化也有一定效果。
[Abstract]:Objective to compare the improvement of utilization of maternal health services in Pudong New District before and after the implementation of the supporting policies for basic public health services and to put forward corresponding policy suggestions.Methods two cross-sectional retrospective surveys were carried out before and after the survey to investigate the infant mothers who received maternal health care services mainly in Pudong New District of Shanghai. The difference of the utilization rate of basic maternal health care service and service satisfaction was compared.Results after the implementation of the supporting policy, most of the indicators of utilization of maternal health services increased, and before and after the implementation of the policy,There were significant differences in antenatal examination rate of non-registered pregnant women during pregnancy (蠂 ~ 2 + 5.104.20 / 5.02). Logistic regression model analysis showed that, after the implementation of the free policy, there was a significant difference in the rate of antenatal examination and antenatal care during pregnancy (蠂 ~ 2 = 5.10 ~ 4.20 / 5.02), and the logistic regression analysis showed that, after the implementation of the free policy,The antenatal examination rate of 9 times or more during pregnancy was higher than that before the implementation of the policy, and the satisfaction degree of the four service indexes, such as service attitude, service content and doctor-patient communication, was improved in the aspects of comprehensive satisfaction and charge of postpartum visit service.The difference was statistically significant (P < 0.01).Conclusion the basic public health service remission policy is helpful to improve the utilization rate and satisfaction of maternal health care, and has certain effect on promoting equalization.
【作者单位】：上海市浦东新区妇幼保健所;复旦大学公共卫生学院;
【基金】：上海市浦东新区卫生局卫生(计生)科技项目(PW 2013A-59) 上海市浦东新区卫生系统学科带头人培养计划资助项目(PWRD 2012-13)
【分类号】：R173

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