Abstract: Objective　To observe women's health care service capability of community health service centers in Beijing.Methods　By means of purposive sampling，16 districts/counties in Beijing were stratified by urban areas and suburbs/counties，and the samples were taken according to a ratio of 1∶1.A total of 93 community health service centers were selected，including 48 centers in the urban area and 45 centers in the suburbs/counties.A self-designed questionnaire was conducted from June to July in 2016.The main contents of the questionnaire were the settings of women's health care departments，the items of women's health care services provided by community health service centers，laboratory tests and imaging examination.A total of 93 questionnaires were distributed and 93 valid questionnaires were returned.The effective response rate was 100.0% （93/93）.Results　Of the 93 community health service centers，72 （77.4%） centers had specialized gynecologists，and 31 （43.0%） centers had independent gynecological clinics.There was no statistically significant difference in the settings of independent gynecological clinics between community health service centers in urban areas and suburbs/counties of Beijing（P>0.05）.Among 93 community health service centers，47（50.5%） centers provided cervical cancer screening；53（57.0%） centers provided breast cancer screening；28（30.1%） centers provided family planning surgery；57（61.3%） centers provided menopausal care；and 34（36.6%） centers provided antenatal examinations.The proportion of community health service centers providing family planning surgery and menopausal care in urban areas and suburbs/counties were significantly different（P<0.05），while the proportion of centers providing cervical cancer screening，breast cancer screening and antenatal examinations in urban areas and suburbs/counties had no significant difference（P>0.05）.Among 93 community health service centers，80（86.0%），45（48.4%），15（16.1%），37（39.8%），74（79.6%），86（92.5%），and 23（24.7%） centers provided respectively color Doppler ultrasound，ultrasonic bone density testing，electronic colposcopy，gynecological transvaginal ultrasonography，breast ultrasonography，blood biochemical examination，and female hormone testing.There was significant difference among the proportion of community health service centers providing color Doppler ultrasound，ultrasonic bone density testing，and gynecological transvaginal ultrasonography in urban areas and suburbs/counties（P<0.05），while the proportion of community health service centers providing electronic colposcopy，breast ultrasonography，blood biochemical examination，female hormone testing had no statistically significant difference（P>0.05）.Conclusion　The community health service centers of Beijing have the relevant personnel and facilities to carry out the women's health care with various forms，but it is still necessary to increase the number of gynecological professionals and strengthen settings of gynecological clinics.

Key words: Women's health services, Community health services, Service pattern, Service capability

摘要： 目的　了解北京市社区卫生服务中心妇女卫生保健服务能力。方法　将北京市16个区/县以城区及远郊区/县分层，按1∶1的比例抽取样本，采用目的抽样法抽取93家社区卫生服务中心为研究对象，其中城区48家，远郊区/县45家。于2016年6—7月采用自行设计的问卷进行调查。问卷的主要内容包括：妇女保健科室设置情况、社区卫生服务中心提供的妇女卫生保健服务项目情况、社区卫生服务中心提供的实验室和影像学检查项目。共发放问卷93份，回收有效问卷93份，问卷的有效回收率为100.0%。结果　93家社区卫生服务中心中，72家（77.4%）有专门的妇科医师，其中31家（43.0%）有独立的妇科门诊。北京市城区与远郊区/县有独立妇科门诊的社区卫生服务中心的比例比较，差异无统计学意义（P>0.05）。93家社区卫生服务中心中，提供宫颈癌筛查、乳腺癌筛查、计划生育手术、更年期保健、产前检查服务的机构分别有47家（50.5%）、53家（57.0%）、28家（30.1%）、57家（61.3%）、34家（36.6%）。城区和远郊区/县提供计划生育手术、更年期保健的社区卫生服务中心比例比较，差异有统计学意义（P<0.05）；城区和远郊区/县提供宫颈癌筛查、乳腺癌筛查、产前检查的社区卫生服务中心比例比较，差异无统计学意义（P>0.05）。93家社区卫生服务中心中，开展彩超、超声骨密度检测、电子阴道镜检查、妇科经阴道超声检查、乳腺超声检查、血生化检查、女性激素检查服务的机构分别有80家（86.0%）、45家（48.4%）、15家（16.1%）、37家（39.8%）、74家（79.6%）、86家（92.5%）、23家（24.7%）。城区和远郊区/县提供彩色超声检查、超声骨密度检测、妇科经阴道超声检查的社区卫生服务中心比例比较，差异有统计学意义（P<0.05）；城区和远郊区/县提供电子阴道镜检查、乳腺超声检查、血生化检查、女性激素检查的社区卫生服务中心比例比较，差异无统计学意义（P>0.05）。结论　北京市社区卫生服务中心已经初步具备开展妇女卫生保健的相关人员配置及硬件设施，开展形式多样，但仍需加强妇科专业人员配置和妇科门诊设置。

关键词: 妇女卫生保健服务, 社区卫生服务, 服务模式, 服务能力