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目的了解芜湖市市属助产机构《出生医学证明》的管理和使用情况。方法采用问卷调查的方法,对芜湖市市属8家助产机构负责《出生医学证明》的签发或管理人员进行调查。结果芜湖市市属8家助产机构的《出生医学证明》管理软件使用率为100%,出生证专人管理率为50%,首次签发率为91.4%,3级以下医院的首次签发率显著高于3级医院的首次签发率(χ2=151.06,P<0.01);废证率为2.0%,废证主要原因为打印错误(81.5%)、人为因素(11.1%),3级医院的废证率高于3级以下医院的废证率(χ2=24.36,P<0.01);8家助产机构的工作人员关于《出生医学证明》基本知识的能熟练掌握,知晓率较高,但对于一些特殊情况如何办理、原始资料如何分类存档等知识知晓率偏低;同时也发现目前的管理规范尚不能满足实际操作的需要。结论芜湖市对《出生医学证明》实行规范化管理,但工作中仍发现缺乏细化的操作流程,应根据实际制定本级的《出生医学证明》相关管理办法,严格控制废证率,加大培训力度,加强对孕产妇进行相关知识的健康宣教。
Objective To understand the management and use of the “birth medical certificate” of the municipal midwifery in Wuhu City. Methods A questionnaire survey was conducted to investigate the issuance or management personnel responsible for the birth medical certificate of 8 midwifery institutions in Wuhu City. Results The utilization rate of birth medical certificate management software was 8% in Wuhu municipal 8 genera and the management rate of birth certificate was 50%. The initial issuance rate was 91.4%. The first issuance rate was significantly higher in hospitals below grade 3 (Χ2 = 151.06, P <0.01); the failure rate was 2.0%; the main reasons for the invalidation were printing error (81.5%), human factors (11.1%), and the level 3 hospital’s abolishing card (Χ2 = 24.36, P <0.01). The staff of 8 midwifery institutions were familiar with the basic knowledge of “medical certificate of birth”, with a high awareness rate. However, for some How to deal with special circumstances, how to categorize and archive raw materials, and so on. At the same time, it is found that the current management norms can not meet the needs of actual operation. Conclusion Wuhu City, “the birth of a medical certificate,” the implementation of standardized management, but the work still found a lack of detailed operational procedures should be based on the actual development of this level of “medical certificate of birth,” the relevant management practices, strict control of the rate of invalid certificates, increase training Efforts will be made to strengthen the health education on maternal health and related knowledge.