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目的了解北京市中小学校近3 a传染病防治管理状况,为学校传染病防治规范化管理提供依据。方法采用概率比例规模抽样的方法,于2011—2013年分别选取北京市16个区县887,1 013,1 315所学校的传染病管理人员进行问卷调查。结果 3 a来学校医务室设为专室的比例由2011年的91.1%上升到2013年的93.1%,专职校医配置达标率为职高(55.3%)>中学(44.2%)>小学(18.4%),城区(36.8%)>郊区(18.4%)。学校传染病管理中城郊差异有统计学意义(P<0.05),郊区的总体管理水平较城区低,在卫生设施及人员配备方面小学与其他类型学校存在较大差异。结论应着力加强郊区学校的传染病防治管理工作,同时逐步改善小学的卫生设施和人员配置。
Objective To understand the status of communicable disease control and management in primary and secondary schools in Beijing for the past 3 years and provide evidence for the standardized management of infectious diseases in schools. Methods By means of probabilistic scale sampling, infectious disease managers in 887,1 013,1 315 schools in 16 districts and counties in Beijing from 2011 to 2013 were selected for questionnaire survey. Results The proportion of school-based clinics set up as special rooms increased from 91.1% in 2011 to 93.1% in 2013, and the compliance rate for full-time school settings was 55.3% for high school, 44.2% for middle schools, and 18.4% for primary schools. , City (36.8%)> suburbs (18.4%). Suburban overall management level is lower than that in urban areas in the suburbs of infectious diseases management in schools, and there is a big difference between primary schools and other types of schools in terms of sanitation facilities and staffing. Conclusions Efforts should be made to strengthen the management of infectious diseases in suburban schools while gradually improving primary health facilities and staffing.