目的 了解安徽省助产服务资源状况,为加强助产服务提供基础性数据。方法 采用普查方式,利用自行设计的调查表,收集全省各级各类助产机构的助产服务资源数据。结果 2015年,全省有产科床位的医疗保健机构总数为1 358家,其中基层卫生机构786家(57.9%)、民营医院269家(19.8%)、公立医院230家(16.9%)、妇幼健康服务机构52家(3.8%)。共有产科床位23 898张;共有产科医生6 798人,助产士4 674人,合计11 472人。在报告有分娩量的1 203家(88.6%)助产机构中,2015年分娩总数为70 5050人,其中公立医院和民营医疗分娩量较大,妇幼健康服务机构的分娩量47 296人,占6.7%。在有分娩量又有助产技术人员的1 202家机构中,人均助产人数较少的以基层卫生机构为主,人均助产人数较多的以公立医院和民营医院居多。人均助产人数超过200人的有22家机构,绝大多数分布在皖北地区。平均床位利用人数较少的以基层卫生机构居多,床位利用人数较高的以公立医院和民营医院居多。床均利用人数超过100人的有8家机构,主要分布在皖北地区。结论 安徽省助产服务资源略高于全国平均水平;在助产服务中,民营医院发挥着重要作用,妇幼健康服务机构未发挥应有作用,乡镇卫生院的潜力有待开发;产科“一医难求”、“一床难求”的现象在皖北地区比较突出。

Objective To identify the delivery resources and provide basic data for improving delivery services in Anhui province. Methods Data of delivery resources from all hospitals with delivery services in Anhui were collected using self-designed questionnaire. Results In 2015, there were 1358 hospitals providing delivery services in Anhui, with 786 town/township hospitals (57.9%), 269 private hospitals (19.8%), 230 public hospitals (16.9%) and 52 MCH hospitals (3.8%). Totally, there were 23898 obstetrical beds, 11 472 obstetrical personnel (6798 obstetrical doctors and 4674 midwifes). There were totally 705050 deliveries reported by 1203 (88.6%) hospitals in 2015. The public hospitals reported 358004 deliveries (50.8%), private hospitals reported 174692 (24.8%), and MCH hospitals reported 47296 (6.7%). Among 1202 hospitals with delivery load and obstetrical personnel, more town/township hospitals reported low average deliveries per person, more public and private hospitals reported high average deliveries. There were 22 hospitals reported 200 or more deliveries per person, almost all of which were in north Anhui. More town/township hospitals reported low average deliveries per bed, more public and private hospitals reported high average deliveries per bed. There were 8 hospitals reported 100 or more deliveries per bed, most of which were in north Anhui. Conclusion The number of obstetrical personnel and beds in Anhui were slightly higher than the national average level. Private hospitals played an important role but MCH hospitals did not play the main role, the potential of town/township hospitals could be developed. The shortage of obstetrical doctors and beds was more serious in north Anhui.