Defining community pediatric services and establishing supporting strategies under the integrated model for children′s health services
10.3760/cma.j.cn114798-20240928-00778
- VernacularTitle:儿童健康综合服务体模式下社区儿科服务内容界定与配套方法建立
- Author:
Yili DAI
1
;
Huimei XU
;
Zhenyuan SHEN
;
Wei YAO
;
Tao LIU
;
Hongmei HUAN
;
Fulai SHEN
;
Cui LIU
;
Jiaoyu LIU
Author Information
1. 上海市闵行区古美社区卫生服务中心，上海 201102
- Publication Type:Journal Article
- Keywords:
Community health centers;
Children;
Health service;
Integrated service body;
Health demand;
Service network
- From:
Chinese Journal of General Practitioners
2025;24(7):801-808
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish a set of dynamic definition methods and key operational techniques for community pediatric services contents within the framework of an integrated children health services model.Methods:This was a cross-sectional study. From December 2023 to June 2024, a study was conducted at the Shanghai Gumei Community Health Service Center. The study was divided into three phases: identifying the health needs of community children (Phase A), developing the service content and methods for community children (Phase B), and establishing a community children service network (Phase C). A variety of methods, including questionnaires and focus group interviews, were comprehensively employed in each phase to develop the ABC demand network and its construction approach for community children, and to establish a networked service system.Results:A total of 512 questionnaires were distributed in Phase A, of which 499 were returned for an effective recovery rate of 97.5%. Of the parents, 488 (97.8%, 488/499) would actively seek information related to children′s health. Of those parents, 90.6% (452/499), 80.8% (403/499), and 71.9% (359/499) expressed concern about their children′s growth and development, mental health and social adaptation, and the prevention and treatment of common, frequently occurring diseases, respectively. The research clarified the health needs of children in the community and the health issues of children in different age groups. This included the mental health and social adaptation of community children, as well as common and frequently occurring diseases. The study also revealed a lack of mental health and social adaptation's services for children in the community. After sorting the community′s services into categories such as children′s growth and development detection, diagnosis and treatment of common diseases, and planned immunizations, and establishing corresponding service methods, it was found that Gumei community Health Service Center had strong diagnostic service capabilities for children aged 0-3 and 4-6, but need improved for children aged 7-12 and 13-15. At the same time, a service network consisting of five major categories, represented by medical alliances, has been established to address unmet needs in diagnosis and rehabilitation care for mental health and social adaptation, as well as major diseases.Conclusions:The study has developed an ABC demand network and its construction method for community children. It provides new ideas for defining the content of community pediatric services and establishing supporting methods, and it offers a practical basis for the constructing a community pediatric service system.
