【作者】 严丽英； 潘美儿； 王景权； 吴李梅； 谭又吉；

【Author】 Yan Liying;Pan Meier;Wang Jingquan;Institute of Dermatology of Zhejiang Province;

【机构】 Institute of Dermatology of Zhejiang Province；

【摘要】 目的:通过对麻风防治机构医务人员对麻风防治工作质量认可程度的调查,为后续研究提供基础数据,为防治政策的制定提供参考。方法:采用定量与定性研究相结合的方法从卫生人力资源的使用、具体防治业务工作的效果以及目前最急需改进麻风防治工作的选择等方面对近5年浙江省麻风防治工作质量进行评价。结果:77例防治机构医务人员对麻风防治工作总体评价认可度:认为较好者54例(70.13%),一般者14例(18.18%),较差者9例(11.69%)。从卫生人力的投入来看,医务人员参与最多的为残老麻风病人疗养(42.86%)以及麻风病人的诊断治疗工作(24.68%),参与较少的为麻风残疾预防(11.69%)以及麻风社会经济康复工作(12.99%)。医务人员对麻风防治具体业务工作认可度最高者为治愈残疾病人的随访监测(2.78士0.53)和现症病人的诊治工作(2.73士0.60),对于麻风病健康教育(2.05士0.69)以及麻风病人医疗与康复服务的利用(1.99士0.77)认可度最差。目前浙江麻风防治最急需改进的工作为社会大众的麻风健康教育、流动人口的麻风发现工作、基层麻风检验人员的配备与能力建设。15例关键人物深入访谈显示基层麻风防治与综合卫生服务的结合在人员能力建设以及疾病预防控制系统与临床医疗系统整合分工上有待改进。结论:总体而言医务人员对浙江省麻风防治工作质量认可度较高,但加强新形势下麻风防治工作模式的探索与实践仍十分必要。更多还原

【Abstract】 Objective:To evaluate the recognitions of leprosy control services among medical staffs in leprosy control agencies, to provide baseline data for sequence studies and formulating policies. Methods:Qualitative and quantitative methods were conducted in 77 health staffs in Zhejiang leprosy control agencies, to assess the quality of leprosy control work in recent 5 years in Zhejiang, from the aspects of the use of health human power, effect of each control method and the leprosy service priority card choice. Results: Good general recognition(70.13%) of leprosy control services in Zhejiang was presented by the investigated persons. From priority of resource, the staff were focused on medical care for disabled elder patients(42.86%) and then diagnosis and treatment of leprosy patients(24.68%). POD(11.69%) and social and economical rehabilitation(12.99%) were seldom carried out in recent 5 years. Following up cured and disabled patients and surveillance(2.78 ±0.53) and active patients diagnosis and treatment work(2.73 ± 0.60) were highly recognized by medical staffs, while leprosy health education(2.05 ± 0.69) and the utilization of medical and rehabilitation facilities bt patients(1.99 ± 0.77) were less recognized. When medical staffs were asked to list their priority of leprosy control work, they considered mass health education, case-finding in migrant population and leprosy laboratory equipment and capacity building,were s their top three choices. Semi-structured interviews among 15 persons showed that the leprosy control staffs’ capability building and cooperation with medical agencies were improved due to the reform of integration of leprosy service with general health service system. Conclusion:The leprosy control services in Zhejiang presented high recognition in medical staffs generally. But it is necessary that new models of leprosy control service in the new situation be explored and practiced.更多还原