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用定量资料评价了河北、安徽、四川3省的8个妇幼卫生项目县开展妇幼保健保偿制对围产保健工作的实际效果。结果表明,妇幼保健保偿制可以提高产前检查率、住院分娩率、接生质量,缩短第三产程,增加产前检查和产后访视次数等;保健保偿制有利于健康教育的开展,增强保健工作者和入保妇女双方的积极性。因此,它是一项有利于围产保健的新措施,应当进一步推广。此外,文章还讨论了该制度实施中存在的问题,提出应进一步完善制度、加强管理、提高保健工作者业务素质和改善服务态度,提高其社会效益。
Quantitative data were used to evaluate the actual effect of MCHP on perinatal health care in 8 MCH counties in Hebei, Anhui and Sichuan provinces. The results showed that MCHS could increase the prenatal examination rate, hospital delivery rate, delivery quality, shorten the third stage of labor, increase the number of prenatal visits and postpartum visits; health insurance system is conducive to the development of health education, enhance Enthusiasm for both health workers and insured women. Therefore, it is a new measure conducive to perinatal health care and should be further promoted. In addition, the article also discussed the problems existing in the implementation of the system, and proposed that the system should be further improved, the management strengthened, the professional quality of health workers improved, the service attitude improved, and the social benefits improved.