北京市2010至2015年产前超声筛查机构运营情况分析

doi:10.3881/j.issn.1000-503X.10752

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2019, Vol. 41 ›› Issue (2): 188-193.doi: 10.3881/j.issn.1000-503X.10752

• Original Articles • Previous Articles Next Articles

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

LI Ying^1,²,XU Hongyan³,SONG Yuting^1,²,LIU Kaibo³(),FENG Xinglin^1,²()

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)

Abstract

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

CLC Number:

R172

LI Ying,XU Hongyan,SONG Yuting,LIU Kaibo,FENG Xinglin. Operation of Prenatal Ultrasound Screening Institutions in Beijing from 2010 to 2015[J].Acta Academiae Medicinae Sinica, 2019, 41(2): 188-193.

Figures/Tables 3

Table 1

Table 2

Table 3

The amount of the mid pregnancy ultrasound screening services in Beijing during 2010 to 2015"

年份 Year	分娩量 Delivery volume (n)	筛查总量 Number of ultrasonic screening [n(%)]			机构类别Hospital types[n(%)]						机构等级Hospital level[n(%)]
年份 Year	分娩量 Delivery volume (n)	筛查总量 Number of ultrasonic screening [n(%)]			妇幼保健院 Maternal and child hospitals	综合性医院 General hospitals		妇产专科医院 Maternity hospitals		其他 Other hospitals	二级机构 Secondary hospitals		三级机构 Tertiary hospitals
2010	174 500	178 100(100)			47 400(26.62)	114 500(64.31)		13 700(7.68)		2 500(1.40)	88 800(49.86)		89 300(50.14)
2011	192 200	217 400(100)			60 600(27.88)	140 600(64.69)		12 800(5.91)		3 300(1.52)	114 600(52.73)		102 800(47.27)
2012	224 600	248 600(100)			69 500(27.96)	158 200(63.64)		16 400(6.59)		4 500(1.81)	137 200(55.20)		111 400(44.80)
2013	217 200	191 800(100)			48 200(25.14)	119 100(62.06)		15 900(8.29)		8 700(4.51)	78 200(40.76)		113 600(59.24)
2014	250 200	248 100(100)			63 500(25.59)	156 100(62.91)		18 800(7.58)		9 700(3.91)	107 400(43.31)		140 600(56.69)
2015	210 100	160 100(100)			36 500(22.81)	103 700(64.79)		12 900(8.03)		7 000(4.38)	62 500(39.05)		97 600(60.95)
年份 Year	城乡Urban-rural areas[n(%)]			所在区District [n(%)]
年份 Year	城市Urban		远县Suburb	首都核心功能区 Core functional area of the capital			城市功能拓展区 Urban functional development area		城市发展新区 Urban development zone			生态涵养发展区 Ecological conservation development zone
2010	131 400(73.78)		46 700(26.22)	30 300(17.01)			92 000(51.66)		45 400(25.49)			10 400(5.84)
2011	155 800(71.64)		61 700(28.36)	35 600(16.40)			108 200(49.76)		61 900(28.46)			11 700(5.38)
2012	176 700(71.07)		71 900(28.93)	39 000(15.71)			122 900(49.43)		72 100(29.00)			14 600(5.87)
2013	131 900(68.73)		60 000(31.27)	30 200(15.75)			93 100(48.51)		54 600(28.47)			14 000(7.27)
2014	167 500(67.53)		80 500(32.47)	38 900(15.67)			116 300(46.87)		73 900(29.79)			19 000(7.67)
2015	112 500(70.28)		47 600(29.72)	25 000(15.63)			80 500(50.28)		44 100(27.53)			10 500(6.55)

Table 3

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时间Time	机构总数 Total number of hospitals	机构类别 Hospital types											机构等级 Hospital level
时间Time	机构总数 Total number of hospitals	妇幼保健院 Maternal and child hospitals		综合医院 General hospitals			妇产专科医院 Maternity hospitals				其他 Other hospitals		三级机构 Tertiary hospitals		二级机构 Secondary hospitals			审批制 Approved hospitals				备案制 Registered hospitals
2010~2012年 2010 to 2012	93(100.00)	14(15.05)				74(79.57)				2(2.15)			3(3.23)				41(44.09)				52(55.91)		7(7.53)		86(92.47)
2013~2015年 2013 to 2015	100(100.00)	14(14.00)				71(71.00)				8(8.00)			7(7.00)				59(59.00)				41(41.00)		8(8.00)		92(92.00)
时间Time	机构级别Supervisory level											筛查服务隶属科室Affiliation
时间Time	省部级 Provincial hospitals	地市级 Municipal hospitals			区县级 District hospitals				其他 Others			独立存在 Independent				产科 Obstetrics				检验科 Clinical labs			综合大超声 Ultrasonography labs			其他 Others
2010~2012年 2010 to 2012	21(22.58)	14(15.05)			51(54.84)				7(7.53)			5(5.38)				24(25.81)				1(1.08)			16(17.2)			47(50.54)
2013~2015年 2013 to 2015	20(20.00)	15(15.00)			57(57.00)				8(8.00)			9(9.00)				13(13.00)				1(1.00)			74(74.00)			3(3.00)
时间Time	城乡Urban-rural areas							所在区District
时间Time	城市City		远县Suburb					首都核心功能区 Core functional area of the capital						城市功能拓展区 Urban functional development area					城市发展新区 Urban development zone					生态涵养发展区 Ecological conservation development zone
2010~2012年 2010 to 2012	69(74.19)		24(25.81)					17(18.28)						43(46.24)					22(23.66)					11(11.83)
2013~2015年 2013 to 2015	71(71.00)		29(29.00)					18(18.00)						47(47.00)					25(25.00)					10(10.00)

机构Institution	产前超声筛查人员数 Number of prenatal ultrasound screening staff [n(%)]	平均每机构产前超声筛查人员数 Mean number of prenatal ultrasound screening staff per institution(%)
总体Total number	833(100.00)	8.50
机构类别Hospital types
妇幼保健院Maternal and child hospitals	104( 12.49)	7.43
综合性医院General hospitals	620( 74.43)	8.99
妇产专科医院Maternity hospitals	59( 7.08)	7.38
其他Other hospitals	50( 6.00)	7.14
机构等级Hospital level
三级机构Tertiary hospitals	546( 65.55)	9.41
二级机构Secondary hospitals	287( 34.45)	7.18
城乡Urban-rural areas
城市Urban	577( 69.27)	8.36
远县Suburb	256( 30.73)	8.83
所在区District
首都核心功能区Core functional area of the capital	158( 18.97)	8.78
城市功能拓展区Urban functional development area	381( 45.74)	8.47
城市发展新区Urban development zone	223( 26.77)	8.92
生态涵养发展区Ecological conservation development zone	71( 8.52)	7.10

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