目的:探讨医院内流产后服务(post abortion care,PAC)模式改进的可行性和有效性。方法:对医护人员进行PAC培训并在原流产服务流程中增加PAC内容来改进服务模式。将患者随机分为对照组和干预组,对照组维持原流产服务流程,干预组在原流产服务基础上进一步对人工流产后妇女进行生殖保健服务;干预前、后对患者和医护人员进行基线及干预满1年后的问卷调查。结果:1年后干预组避孕知识得分增值和有效避孕措施使用率均高于对照组,非意愿妊娠率低于对照组。干预组增加服务时间6.0±2.5 min/人。74.5%的医护人员赞同对原流程进行细节优化,70.6%的医护人员认为当患者>16人/d时PAC负荷过重,宜设专岗。结论:医院内PAC能有效降低重复流产率,对现有流产流程在细节上渗入PAC内容是目前改进医院内PAC的一种可行方法。 Objective: To explore the feasibility and effectiveness of improving post abortion care (PAC) model in hospitals. Methods: Training of healthcare staff in PAC and PAC content in the original abortion service flow to improve service mode. The patients were randomly divided into control group and intervention group. The control group maintained the original abortion service process. The intervention group further provided reproductive health services for abortion women on the basis of the original abortion service. Before and after the intervention, patients and medical staff were baseline and intervention Questionnaire after one year Results: After 1 year, the added value of contraceptive knowledge and effective contraceptive measures in intervention group were higher than those in control group, and the unwanted pregnancy rate was lower than that in control group. Intervention group increased service time 6.0 ± 2.5 min / person. 74.5% of the medical and nursing staff agreed to optimize the details of the original process. 70.6% of the medical and nursing staff considered the PAC to be overloaded when the patient was> 16 persons / d. CONCLUSIONS: Intra-hospital PAC can effectively reduce repeated abortion rate. It is a feasible way to improve the PAC in the hospital by infiltrating PAC content into the existing abortion process details.