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目的通过分析2010-2013年兰州市县(区)级妇幼卫生保健机构卫生资源状况,掌握兰州市妇幼保健机构卫生资源配置情况,为进一步推进兰州市妇幼保健体系建设,提高妇幼卫生保健水平提供依据。方法收集2010-2013年兰州市县(区)级妇幼卫生保健机构妇幼卫生年报资料,整理后采用Excel软件录入信息,计算构成比并进行分析。结果 2010-2013年兰州市妇幼保健机构中业务用房面积明显大于行政用房面积,从2010年的9 192 m~2(22.63%)增加至2013年的10 873 m~2(26.77%);行政用房面积由2010年的3 119 m~2(29.65%)减少至2013年的2 519 m~2(23.95%)。但妇幼保健所(站、院)配置的宣传设备与一般设备配置略显不平均,经济较发达地区的卫生资源明显高于较落后地区的卫生资源,经济较发达地区如安宁区千元以上仪器设备总件数由2010年的15件(19.48%)增加至2013年的25件(32.47%);七里河区千元以上仪器设备总件数由2010年的32件(17.78%)增加至2013年的71件(39.44%),红古区千元以上仪器设备总件数由2010年的36件(20.93%)增加至2014年的52件(30.23%)。各地区卫生经费中妇幼经费所占比例相差较大,七里河区和西固区为100.00%,城关区为28.16%,皋兰县为9.41%,榆中县为6.27%,安宁、红古区和永登县都低于5%。结论 2010-2013年兰州市各妇幼保健机构卫生资源分配有所改善,费用和数量不断提高,但仍然存在妇幼保健机构工作条件不完善,卫生资源利用率低,卫生资源结构不合理等情况。
Objective To analyze the status of health resources in MCH institutions in Lanzhou and to understand the allocation of health resources in MCH institutions in Lanzhou in 2010-2013 so as to provide basis for further promoting the MCH system in Lanzhou and improving the level of maternal and child health care . Methods The maternal and child health annual reports of MCH institutions in Lanzhou were collected from 2010 to 2013. After sorting, the information was collected by Excel software and the composition ratio was calculated and analyzed. Results The area of commercial buildings in MCH institutions in Lanzhou in 2010-2013 was significantly larger than that of administrative buildings, from 9 192 m 2 (22.63%) in 2010 to 10 873 m -2 (26.77%) in 2013; The area of administrative buildings decreased from 319 m 2 (29.65%) in 2010 to 2519 m 2 (23.95%) in 2013. However, the distribution of public information equipment and general equipment of MCH (stations and hospitals) is slightly uneven. The health resources in economically developed areas are obviously higher than those in less developed areas. For more economically developed areas such as Anqian District with more than 1,000 yuan of equipment The total number of equipment increased from 15 (19.48%) in 2010 to 25 (32.47%) in 2013; the total number of equipment above RMB1,000 in Qilihe increased from 32 (17.78%) in 2010 to 71 (39.44%). The total number of instruments and equipment above RMB1,000 in Hongkui District increased from 36 (20.93%) in 2010 to 52 (30.23%) in 2014. The proportions of funding for maternal and child health in all regions vary greatly, with 100.00% in Qilihe District and Xigu District, 28.16% in Chengguan District, 9.41% in Gaolan County and 6.27% in Yuzhong County, And Yongdeng County are less than 5%. Conclusion The distribution of health resources in maternal and child health care facilities in Lanzhou City has been improved from 2010 to 2013, with an increasing cost and quantity. However, there are still some problems such as imperfect working conditions of maternal and child health care institutions, low utilization of health resources and unreasonable structure of health resources.