【摘要】 目的了解广州市荔湾区预防接种门诊服务能力,对存在的问题提出解决对策。方法对广州市荔湾区21家社区卫生服务中心预防接种门诊进行问卷调查,收集各街道的预防接种门诊资源配置数据及2013-2016年服务人口数、出生人口数等相关资料,并进行描述性分析。结果 2013-2016年广州市荔湾区出生儿童数呈逐年增加趋势,但预防接种门诊专职人员配置比大于1的仅东漖街(1.70),其余皆低于1,占95.2%(20/21)。截至2016年,预防接种人员30岁以下占18.6%,30岁以上占81.4%;职工职称初级及以下的占58.8%;工作年限5年以上的占74.5%;社卫中心的预防接种门诊面积超过200㎡占23.8%,候诊室座椅超过50张占19.0%,接种台3张以上占33.3%;疫苗专用冰箱5台以上占42.9%;实现数字化门诊的仅多宝街。结论广州市荔湾区各社卫中心预防接种门诊普遍存在专职人员配置严重不足、职称偏低、年龄偏大和软、硬件设施资源相对缺乏等问题。因此,加大人力物力投入,加强免疫规划人才队伍建设,规范预防接种,从而有效提高预防接种服务能力。更多还原

【Abstract】 Objective To understand the service capabilities of outpatient clinics of Liwan District and provide solutions for the existed issues. Methods Survey was conducted in 21 outpatient clinics of each sub-district. Statistics of resources distribution,population covered by the service and birth population from 2013 to 2016 were collected for descriptive analysis. Results From2013 to 2016,the number of infants increased year by year. Nevertheless,among all the vaccination outpatient clinics,only the allocation of staff in Dongjiao Subdistrict was more than 1(1. 70). The rest were lower than 1,which accounted for 95. 2%(20/21). Until 2016,vaccination staff under 30 years old accounted for 18. 6% while those over 30 years old accounted for 81. 4%.The staff with junior job title or lower represented 58. 8%. The staff with 5 years’ working experience represented 74. 5% of the whole. The size of vaccination outpatient clinics exceeding 200 m2 accounted for 23. 8%. Waiting rooms with more than 50 chairs and tables represented 19. 0% and the ones with more than 3 vaccination table accounted for 33. 3%. Vaccination outpatient clinics with more than 5 fridges for the storage of vaccines represented 42. 9%. The only vaccination outpatient clinic digitized was the one in Duobao Subdistrict. Conclusion All the vaccination outpatient clinics were encountered with the problem of staffing including staff allocation,job titles,staff age and inadequate resources of facilities. Therefore,investment in human resources,enforcement of staff training,regulation for the clinic development are the solution for enhancing the service capabilities.更多还原