中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2019, Vol. 41 ›› Issue (2): 188-193.doi: 10.3881/j.issn.1000-503X.10752

• 论著 • 上一篇    下一篇

北京市2010至2015年产前超声筛查机构运营情况分析

李颖1,2,徐宏燕3,宋雨亭1,2,刘凯波3(),冯星淋1,2()   

  1. 1 北京大学公共卫生学院卫生政策与管理学系,北京 100191
    2 北京大学医学部卫生政策与技术评估中心,北京 100191
    3 首都医科大学附属北京妇产医院 北京妇幼保健院围产保健科,北京 100026
  • 收稿日期:2018-08-05 出版日期:2019-04-28 发布日期:2019-05-07
  • 通讯作者: 刘凯波,冯星淋 E-mail:kaibo1021@163.com;fxl@bjmu.edu.cn
  • 基金资助:
    国家自然科学基金(71303010);国家自然科学基金(71761130083);国家自然科学基金(71422009);北京市科技计划课题(Z141100006014025)

Operation of Prenatal Ultrasound Screening Institutions in Beijing from 2010 to 2015

LI Ying1,2,XU Hongyan3,SONG Yuting1,2,LIU Kaibo3(),FENG Xinglin1,2()   

  1. 1 Department of Health Policy and Management,School of Public Health,Peking University,Beijing 100191,China
    2 Health Policy and Technical Assessment Center,Peking University Health Science Center,Beijing 100191,China
    3 Department of Perinatal Health,Beijing Obstetrics Gynecology Hospital Affiliated to Capital Medical University,Beijing Maternal and Child Health Care Hospital,Beijing 100026,China
  • Received:2018-08-05 Online:2019-04-28 Published:2019-05-07
  • Contact: Kaibo LIU,Xinglin FENG E-mail:kaibo1021@163.com;fxl@bjmu.edu.cn
  • Supported by:
    National Natural Sciences Foundation of China(71303010);National Natural Sciences Foundation of China(71761130083);National Natural Sciences Foundation of China(71422009);Beijing Municipal Science and Technology Project(Z141100006014025)

摘要:

目的 了解北京市产前超声筛查机构的运营情况,为优化产前筛查管理工作提供决策证据。方法 基于北京市第2次、第3次全国产前筛查和产前诊断服务专项调查,从机构、人员、设备等资源投入的角度和服务量产出的角度分析产前超声筛查机构运营现状及变化情况。结果 2013至2015年北京市产前超声筛查机构有100家,技术人员833名,产前超声筛查设备383台,总服务量为60万次。2010至2012年机构数量为93家,总服务量为64.41万次。综合医院、三级医疗机构、城市地区尤其是城市功能拓展区和城市发展新区是服务提供的主力,妇幼保健院单位资源的服务量最高。北京市孕中期超声筛查率约为98.05%。服务提供存在由城市地区向远县地区转移,二级机构向三级机构转移的趋势。结论 2010至2015年北京市产前超声筛查服务运营和管理较为规范,孕中期超声筛查率较高且服务量的分布趋于合理化。

关键词: 产前超声筛查, 机构, 运营

Abstract:

Objective To learn the capability and functioning status of prenatal ultrasound screening institutions in Beijing and inform decision-making on the optimization of prenatal screening management.Method By using the data from the second and the third National Special Survey on Prenatal Screening and Prenatal Diagnostic Services in Beijing,we analyzed the distribution,human resources,workload,technology,and equipment of ultrasound screening institutions in Beijing as well as their changing trends.Results From 2013 to 2015,there were 100 prenatal ultrasound screening institutions,833 technicians,and 383 prenatal ultrasound screening instruments in Beijing,offering over 600 000 service sessions.In contrast,there were 93 institutions with a total service volume of 644 100 between 2010 and 2012.The general hospitals,tertiary hospitals,and urban areas(especially urban functional development areas and new urban development areas)were the main sources of the services.In particular,the maternal and child health care hospitals in Beijing provided the highest amount of services per unit of resources.The average prenatal ultrasound screening rate was about 98.05%.The service delivery trended to transfer from urban areas to remote county areas and from secondary institutions to tertiary institutions.Conclusion The operation and management of prenatal ultrasound screening institutions in Beijing are relatively standard.The ultrasound screening rate is relatively high in the second trimester,and the distribution of the services has constantly been improved since 2010.

Key words: prenatal ultrasound screening, institution, operation

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