中国全科医学 ›› 2022, Vol. 25 ›› Issue (22): 2753-2757.DOI: 10.12114/j.issn.1007-9572.2022.0296

• 论著·社区儿童卫生服务研究 • 上一篇    下一篇

社区卫生服务机构常见儿童疾病病种分析

尹德卢*(), 王晰, 殷涛   

  1. 100020 北京市,首都儿科研究所卫生发展研究室
  • 收稿日期:2022-04-22 修回日期:2022-05-25 出版日期:2022-08-05 发布日期:2022-06-23
  • 通讯作者: 尹德卢
  • 尹德卢,王晰,殷涛. 社区卫生服务机构常见儿童疾病病种分析[J]. 中国全科医学,2022,25(22):2753-2757.[www.chinagp.net]
    作者贡献:尹德卢负责调查设计与组织实施,数据分析、论文撰写和修订;王晰、殷涛参与数据整理、分析和调查实施。
  • 基金资助:
    国家自然科学基金资助项目(71673191); 北京市医院管理局青年人才培养"青苗计划"项目(QML20161301)

Common Diseases of Children in Urban Community Health Service Institutions

Delu YIN*(), Xi WANG, Tao YIN   

  1. Department of Health Development, Capital Institute of Pediatrics, Beijing 100020, China
  • Received:2022-04-22 Revised:2022-05-25 Published:2022-08-05 Online:2022-06-23
  • Contact: Delu YIN
  • About author:
    YIN D L, WANG X, YIN T. Common diseases of children in urban community health service institutions[J]. Chinese General Practice, 2022, 25 (22) : 2753-2757.

摘要: 背景 2019年,国家卫生健康委员会印发《社区卫生服务中心能力标准(2018年版本)》,提出了社区卫生服务中心应该提供56种常见病种的诊疗服务,但并没有明确社区儿童常见病病种,一定程度影响社区儿童健康服务能力评价和建设。 目的 调查分析社区卫生服务机构常见儿童疾病病种及其特点,为进一步加强社区儿童健康服务能力建设提供参考依据。 方法 2020年4月,采取方便抽样法选取全国11个不同级别城市的社区卫生服务机构作为样本单位。采用自行设计的调查问卷进行问卷调查,内容涵盖调查对象基本情况、适宜在社区诊疗的常见儿童疾病病种及其排序。问卷由样本机构儿童健康服务人员自愿匿名在线填写,共成功调查3 090例儿童健康服务人员。调查对象将儿童相关疾病常见程度从高到低排序,选出前5种常见儿童疾病分别赋分1~5分,即排序第1的病种赋5分,排序第5的病种赋1分,未被选中的病种赋0分,计算各种疾病总得分,并按照总得分进行排序。 结果 社区儿童常见疾病病种前5位是急性上呼吸道感染、腹泻、支气管炎、肺炎和湿疹;排序前10位的社区常见儿童疾病中,呼吸系统疾病占3种,五官和皮肤科疾病3种,传染病2种,消化系统和生长发育相关疾病各1种。不同地区、不同级别城市和不同岗位下排序前5位常见儿童疾病一致,但排序不同,第6~10位病种及其顺序均存在差异。 结论 目前社区卫生服务机构常见儿童疾病病种覆盖面较广。社区常见儿童疾病病种存在地区、城市和岗位差异性。社区儿童健康服务能力建设要以提高社区常见儿童疾病诊疗服务能力为导向,并充分考虑不同地区、城市和岗位的病种差异性。

关键词: 社区卫生中心, 儿童健康服务, 常见病

Abstract:

Background

In 2019, the National Health Commission issued the Capacity Standards for Community Health Service Center (2018 version), which proposed that the 56 common disease species should be offered diagnosis and treatment services by CHSC, but it did not specify the common disease species of children in the community, which to some extent affects the assessment and construction of CHSC capacity in the community.

Objective

To investigate and analyze the common childhood disease species and their characteristics in community health services, in order to provide a reference basis for further community child health service capacity building.

Methods

In April 2020, a convenience sampling method was adopted to select community health service agencies in 11 different level cities in China as the sample unit. A self-designed questionnaire was administered to cover the subject's basic condition, the common childhood disease conditions suitable for diagnosis and treatment in the community, and their sequencing. Filled out online voluntarily anonymously by child health service personnel at the sample institution, 3 090 cases were successfully investigated. Respondents ranked the common degree of children's related disorders from low to high, assigning 1 to 5 points to each of the top 5 common childhood disorders, which is, assigning 5 points to ranked 1, 1 point to ranked 5, and 0 points to unselected, calculating a total and sorting by total score.

Results

The top 5 disease categories for children in the community were acute upper respiratory infection, diarrhea, bronchitis, pneumonia, and eczema. Of the top 10 ranked community common childhood disorders, 3 were respiratory, 3 were facial and dermatologic, 2 were infectious, and 1 each was a digestive and growth and development related disorder. The top 5 common childhood diseases ranked by different regions, different levels of cities and different posts were consistent, but the ranking order was different, but there were differences in the 6th-10th disease species and order.

Conclusion

The current coverage of common childhood diseases in community health services is high. There is regional, urban, and post heterogeneity in common childhood disease species in communities. Construction of community child health service capacity should be oriented to improve the capacity of diagnosis and treatment service of common childhood diseases in the community, and fully consider the disease species variability in different regions, cities, and posts.

Key words: Community health centers, Children health services, Common diseases