康桥社区儿童保健基本公共卫生服务项目免费政策实施效果分析

周明霞 陈亮(上海市浦东新区康桥社区卫生服务中心 上海 201315)

康桥社区儿童保健基本公共卫生服务项目免费政策实施效果分析

周明霞 陈亮
(上海市浦东新区康桥社区卫生服务中心 上海 201315)

摘 要目的：探讨康桥社区儿童保健基本公共卫生服务项目免费政策实施，对0~3岁儿童健康保健的影响。方法：收集中心儿保门诊2012-2013年在册的0~3岁儿童，分析其实施免费政策前后的管理率、系统管理率、营养性疾病发生率。结果：本市沪籍儿童实施前后差异无统计学意义；外来儿童实施后管理率和系统管理率提高（P<0.05），营养性疾病发生率明显下降(P<0.01)。结论：儿童保健基本公共卫生服务项目免费政策的实施，提升了外来流动儿童的健康保健，营养性疾病发生率明显下降。

关键词基本公共卫生服务 免费政策 儿童保健 系统保健管理 营养性疾病

Analysis of the result of the implementation of the free policy for the basic public health service items for the child health care in Kangqiao Community

ZHOU Mingxia, CHEN Liang
(Kangqiao Community Health Service Center of Pudong New District, Shanghai 201315, China)

ABSTRACTObjective: To explore the implementation of the free policy for the basic public health service items for the child health care which affected the health care of the children at 0 - 3 years old. Methods: The children at 0 to 3 years old registered in the child health care department of the center from 2012 to 2013 were collected, and their rates of the management, systematical management and occurrence of the nutritional disease were analyzed before and after the implementation of the free policy. Results: The difference before and after the implementation of the policy had no statistical significance for the local children, while the rates of the management and systematical management of the migrant children were enhanced (P<0.05), and their occurrence rate of the nutritional disease was reduced obviously (P<0.01). Conclusion: The implementation of the free policy for the basic public health service items for the children improves the health care of the migrant children and their occurrence rate of the nutritional disease drops significantly.

KEY WORDSbasic public health service; free policy; child health care; systematical health management; nutritional disease

2013年浦东新区开始实施儿童保健基本公共卫生项目免费服务，免费对象为辖区内居住的0~6岁儿童（沪籍儿童和常住外来儿童）。免费服务项目主要为：一般体检、血常规、尿常规、智力筛查、听力筛查。本文探讨康桥社区免费服务对社区儿童保健工作的影响。

1 资料与方法

1.1 资料来源

来源于2012-2013年上海浦东新区康桥社区卫生服务中心，儿童保健门诊的儿童健康检查记录表、0~3岁儿童系统管理登记本、新生儿出生登记本、出生死亡散居管理及疾病统计本、儿童死亡登记本、疾病随访登记本、高危儿管理登记本、视听智随访登记本等。

1.2 指标统计和疾病诊断

采用回顾性调查方法，对康桥社区沪籍儿童和外来儿童的保健管理率、系统管理率及营养性疾病的发生状

况进行对比分析。参照上海市0~6岁儿童系统健康检查时间与项目，管理数：在儿保门诊体检的0~3岁儿童数；……