朱志红, 罗海燕, 王轶洲, 王瑜, 周心悦, 凌志毅. 上海市黄浦区2019年预防接种门诊规范化符合率的分析[J]. 上海预防医学, 2021, 33(2): 146-150. DOI: 10.19428/j.cnki.sjpm.2021.20424
引用本文: 朱志红, 罗海燕, 王轶洲, 王瑜, 周心悦, 凌志毅. 上海市黄浦区2019年预防接种门诊规范化符合率的分析[J]. 上海预防医学, 2021, 33(2): 146-150. DOI: 10.19428/j.cnki.sjpm.2021.20424
ZHU Zhi-hong, LUO Hai-yan, WANG Yi-zhou, WANG Yu, ZHOU Xin-yue, LING Zhi-yi. Analysis on conformance with the standardized construction requirements in vaccination outpatient services in Huangpu District of Shanghai in 2019[J]. Shanghai Journal of Preventive Medicine, 2021, 33(2): 146-150. DOI: 10.19428/j.cnki.sjpm.2021.20424
Citation: ZHU Zhi-hong, LUO Hai-yan, WANG Yi-zhou, WANG Yu, ZHOU Xin-yue, LING Zhi-yi. Analysis on conformance with the standardized construction requirements in vaccination outpatient services in Huangpu District of Shanghai in 2019[J]. Shanghai Journal of Preventive Medicine, 2021, 33(2): 146-150. DOI: 10.19428/j.cnki.sjpm.2021.20424

上海市黄浦区2019年预防接种门诊规范化符合率的分析

Analysis on conformance with the standardized construction requirements in vaccination outpatient services in Huangpu District of Shanghai in 2019

  • 摘要:
    目的全面了解预防接种门诊的实际情况和存在的问题,为接种门诊规范化建设和接种全过程管理提供数据支撑。
    方法对上海市黄浦区全部21家接种门诊开展横断面调查,以自查和督查的方式收集资料,着重分析机构和人员管理、布局设施、疫苗及冷链管理、接种管理、消毒隔离管理和医疗废物管理等6项管理要求的符合情况。
    结果纳入调查的21家接种门诊的自查和督查的符合情况,公立和私立的符合情况存在显著性差异(P < 0.05);各项管理要求总体符合率之间没有显著性差异(P > 0.05),较为均衡;单项分析中,单位管理与人员培训、接种场所布局设施、消毒隔离、疫苗及冷链管理的指标符合率存在显著差异(P < 0.05)。
    结论接种门诊的规范化建设需加强,需全面夯实各项管理要求的落实到位,强化预防接种门诊的主体责任意识,重视民办特需接种门诊的建设,完善宣传引导机制。

     

    Abstract:
    ObjectiveTo fully understand the actual situation and existing problems in vaccination outpatient services, which will provide information to support and improve the standardized construction of vaccination outpatient service and the whole-process vaccination management.
    MethodsCross-sectional study was conducted among all the vaccination outpatient services in Huangpu District of Shanghai.Data were collected by self-examination and health supervision.Analysis was focused on the conformance with the six aspects of management requirements, which included institution and personnel management, layout of facilities, vaccine and cold-chain management, vaccination management, disinfection and isolation management and medical waste management.
    ResultsTwenty-one vaccination clinics were included in the study.There were significant differences for conformance between self-examination and health supervision, public and private medical institutions (P < 0.05).There was no significant difference in the overall compliance rate among six aspects of management requirement (P > 0.05), indicating that they were relatively balanced.On analysis within the 6 aspects, there were significant differences in the indicator compliance rate for 4 aspects of management requirement, including institution and personnel management, layout of facilities, vaccine and cold-chain management, disinfection and isolation management (P < 0.05).
    ConclusionThe standardized construction of vaccination outpatient service should be strengthened with the emphasis on the following: implementation and consolidation of management requirements, enhancement of responsibility consciousness in vaccination outpatient service, construction of special-need vaccination outpatient service in private medical institutions, and improvement of publicity and guidance education.

     

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