论文部分内容阅读
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 understand the management of common census work on women in our country and related policies, and to provide a scientific basis for formulating the general survey on women’s common diseases so as to improve the management of women’s common diseases and the quality of service. Methods From December 2007 to January 2008, Beijing, Fujian, Shanxi, Hubei, Anhui, Heilongjiang, Xinjiang, Sichuan, Gansu and Guangxi were chosen as survey sites. According to the principle of stratified random sampling, a total of 70 provinces, Maternal and child health institutions at all levels of the county conducted quantitative and qualitative surveys on the general survey of women’s diseases. Results Of the 10 provincial maternal and child health institutions surveyed, 4 established a census management system for women; 8 of the 18 prefecture-level MCH institutions established a census management system (44.4%) and 42 Of the county-level MCH institutions, 18 established corresponding working systems (42.9%). Provincial maternal and child health institutions have almost failed to supervise women’s disease screening. Of the 18 prefecture-level MCH institutions, 6 supervised and guided the survey of women’s diseases (33.3%). Of the 42 county-level MCH institutions, only 17 carried out supervisory work (40.5%). Some provinces / municipalities directly under the Central Government have special provincial / municipal unified special policies for multi-sectoral collaboration on women’s disease screening and some provinces / municipalities have relevant provincial / municipal policies. Among them, there are requirements for the general survey of women’s diseases. Only a few provinces / autonomous prefectures / municipalities have annual financial support from the Health Bureau to screen cervical cancer and breast cancer free of charge for census-resident women. Some provinces / autonomous regions / municipalities directly under the Central Government have routine supervision, assessment and quality assessment of women’s diseases. Conclusion There are many problems in the routine management of census of common diseases in women, such as lack of system, inadequate supervision and inaccurate information reporting. Therefore, it is necessary for the Ministry of Health to promulgate a unified “Code of Practice for the Census of Common Diseases of Women” to further develop a long-term and common policy for the investigation of common diseases of women so that the common diseases of women in our country can be routineized, standardized and sustained , Full coverage.