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中国社区儿童健康管理服务:相关因素及服务质量分析

Well-child care delivery in the community in China: Related factors and quality analysis of services.

作者信息

Mao Pan, Feng Hui, Xu Shuang, Liu Jianghong, Li Huayan, Zhang Yaying, Ye Yiyan

机构信息

Henan Provincial People's Hospital, Zhengzhou, Henan, China.

Xiangya School of Nursing, Central South University, Hunan, China.

出版信息

PLoS One. 2018 Jan 23;13(1):e0190396. doi: 10.1371/journal.pone.0190396. eCollection 2018.

Abstract

Well-child health care services are essential for maintaining optimum child health and development. This study's aim was to evaluate the quality of such services and identify factors affecting service quality from the perspective of well-child health care providers located in China's Hunan Province. To achieve this, a qualitative descriptive method was employed, with 22 well-child health care providers being recruited, using purposive sampling, from among the provinces' government community health centers. The participants completed individual semi-structured interviews lasting approximately 25-30 minutes that were designed to obtain their views on well-child health care administration in the province. Then, the interview transcripts were analyzed thematically. The main finding was that participants felt that the delivery of well-child health care services in Hunan Province is insufficient. Factors they mentioned as negatively affecting the delivery of such services included the region's fragmented primary health care system, inadequate attention to this issue from parents and community health care center managers, and a lack of specialized well-child care knowledge. Thus, currently, well-child health care is not being successfully implemented in Hunan Province; consequently, in order to successfully implement well-child health care in this region, community health care centers should invest more resources and funding, particularly into education programs for well-child health care providers.

摘要

儿童健康保健服务对于维持儿童的最佳健康状态和发育至关重要。本研究的目的是从中国湖南省的儿童健康保健服务提供者的角度评估此类服务的质量,并确定影响服务质量的因素。为实现这一目标,采用了定性描述性方法,通过目的抽样从该省的政府社区卫生中心招募了22名儿童健康保健服务提供者。参与者完成了时长约25 - 30分钟的个人半结构化访谈,旨在获取他们对该省儿童健康保健管理的看法。然后,对访谈记录进行了主题分析。主要发现是,参与者认为湖南省的儿童健康保健服务提供不足。他们提到的对这类服务提供产生负面影响的因素包括该地区碎片化的初级卫生保健系统、家长和社区卫生中心管理人员对这个问题的关注不足,以及缺乏专业的儿童保健知识。因此,目前湖南省的儿童健康保健未能成功实施;因此,为了在该地区成功实施儿童健康保健,社区卫生中心应投入更多资源和资金,特别是投入到针对儿童健康保健服务提供者的教育项目中。

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