儿童健康管理技术规范与质量控制研究

发布时间：2018-06-23 06:26

本文选题：健康管理 + 儿童　；参考：《青岛大学》2012年硕士论文

【摘要】：目的：探讨医疗保健机构中能有效实施儿童健康管理的技术规范,包括工作内容、运行流程与操作细则等；研究和设计儿童健康管理质量控制指标体系,使儿童健康管理质量控制成为一个可操作的过程；初步评估儿童健康管理的效果,为进一步开展工作提供参考。方法：以儿童保健“测查-评价-指导-干预”路径为主线,查阅和梳理相关文献及文件,结合实际工作,遴选包括儿童健康(含生长发育)及其主要影响因素的测查内容,建立评价体系,优化运行流程和操作细则,制定不同年龄段儿童的保健指导方案；依照系统论思想,分析健康管理质量体系的构成要素,从总体和全局层面研究文献,遴选指标,再经过实践验证和修改完善,建立基本质量指标体系框架；采用电脑信息系统提供的数据,对2001、2011两年健康管理资料进行对照分析。结果：形成了以“测查-评价-指导-干预”为核心的儿童健康管理技术规范,并将此全过程细化,使每个环节及其规范都以文件的形式确立；建立了以投入(保障)、实施(过程)和结果(效益)为基本框架的儿童健康管理三级质量控制指标体系,包括一级指标3个,二级指标18个,三级指标若干个；对2001、2011两年健康管理资料进行对照分析结果显示,前后两年,满3周岁婴幼儿系统管理率分别为67.4%和89.1%,0-3岁婴幼儿各年龄段体重、身长平均值均有增加,佝偻病、贫血、营养不良等患病率大幅下降(P均＜0.05),依次分别为20.5%和8.9%、18.7%和8.1%、9.2%和4.0%,而过敏性疾病、肥胖症等患病率上升(P均＜0.05),依次分别为27.6%和33.4%、13.9%和19.1%,生长迟缓、先天缺陷等检出率无明显变化(P均＞0.05)。结论：“测查-评价-指导-干预”一体化技术及其流程是儿童健康管理比较完整的保健路径,相对应的工作内容、操作细则等构成儿童健康管理比较全面的技术规范；依据上述路径建立的以投入(保障)、实施(过程)和结果(效益)为基本框架的质量控制指标体系,可为提升儿童健康管理质量和管理水平提供技术支持；儿童健康管理对儿童早期健康和生长发育能起到保护和促进作用,而建立一套完整的技术规范和科学的质量控制体系并加以实施,可为其提供保障。
[Abstract]:Objective : To study the technical specifications of health management in health care institutions , including working content , running process and operating rules .
To study and design the quality control index system of children ' s health management , which makes the quality control of child health management become an operational process ;
Preliminary assessment of the effectiveness of child health management provides a reference for further work .
Methods : The survey contents of children ' s health ( including growth and development ) and their main influencing factors were selected and sorted according to the " survey - evaluation - guidance - intervention " route of children ' s health care , and the evaluation system was established , the running process and operation rules were optimized , and the health - care guidance scheme for children of different age groups was established ;
According to the theory of system theory , the constituent elements of the quality system of health management are analyzed , the literature and selection indexes are studied from the overall and global levels , and the basic quality index system framework is established through practice verification and modification .
Based on the data provided by the computerized information system , a comparative analysis of the health management data for the two years 2001 and 2011 was carried out .
Results : A technical specification for children ' s health management based on " finding - evaluation - guidance - intervention " was formed , and the whole process was refined so that each link and its specifications were established in the form of documents ;
A three - level quality control index system for children ' s health management based on investment ( safeguard ) , implementation ( process ) and results ( benefit ) is established , including 3 primary indexes , 18 secondary indexes and several third - level indicators ;
The results of control and analysis of health management data in 2001 and 2011 showed that the system management rates of infants aged 3 and 2 years were 67.4 % and 89.1 % , respectively , and the prevalence rates of body weight and body length of infants aged 0 - 3 were increased significantly ( P < 0.05 ) , and the prevalence rates were 27.5 % and 8.9 % , 18.7 % and 8.1 % , 9.2 % and 4.0 % , respectively , and the prevalence of allergic diseases and obesity increased ( P < 0.05 ) .
Conclusion : The integrated technology and its process of " finding - evaluation - guidance - intervention " is a complete health - care path for children ' s health management , and the corresponding working content , operating rules and so on constitute a comprehensive technical specification for children ' s health management ;
The quality control index system based on investment ( safeguard ) , implementation ( process ) and result ( benefit ) established based on the above - mentioned path can provide technical support for improving the quality and management level of child health management ;
Child health management can protect and promote early childhood health and development , and establish a complete set of technical specifications and scientific quality control system and implement them .
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R179

【相似文献】