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目的了解吕梁市2000～2006年公共场所卫生监督监测现状,进一步提升卫生监督管理水平。方法对吕梁市2000～2006年公共场所卫生监督监测资料进行分析。结果2000～2006年卫生监督覆盖率逐年提高,2006年达99.67%,高于全国平均水平(94.40%),不同年份间覆盖率的差异有统计学意义(P<0.01);从业人员健康体检率和卫生知识培训率呈下降趋势;卫生许可证发放率呈下降趋势,2005～2006年趋于稳定;从业人员健康体检和卫生知识培训率分别由2000年的97.71%和97.76%下降为2006年的90.14%和88.90%,不同年份间的差异有统计学意义(P<0.01);卫生监测率维持在较低水平,年平均监测率为51.28%,监测合格率逐年上升,不同年份间监测率及合格率的差异有统计学意义(P<0.01);卫生行政处罚率逐年提高,不同年份间的差异有统计学意义(P<0.01),处罚力度在逐年加大。结论今后应加强公共场所卫生监督队伍建设,加大卫生监督执法力度,特别是从业人员的体检和卫生知识培训,要增加监督频次,加大处罚力度;同时配备和完善监测仪器,提高卫生监督监测服务质量和水平。
Objective To understand the status of health supervision and monitoring in public places in Lvliang from 2000 to 2006 and to further improve the level of health supervision and management. Methods The data of health supervision and monitoring in public places in Lvliang City from 2000 to 2006 were analyzed. Results The coverage rate of health supervision increased from 2000 to 2006, reaching 99.67% in 2006, higher than the national average level (94.40%). The coverage rate in different years was significantly different (P <0.01). The health examination rate And health knowledge training rate showed a downward trend; the issuance rate of health permits showed a downward trend and stabilized from 2005 to 2006; the training rate of health examination and health knowledge of employees dropped from 97.71% and 97.76% respectively in 2000 to 2006 90.14% and 88.90% respectively. The difference between different years was statistically significant (P <0.01). The health monitoring rate was kept at a low level with an average annual monitoring rate of 51.28%. The monitoring qualified rate increased year by year. The monitoring rates in different years The difference of pass rate was statistically significant (P <0.01). The administrative punishment rate of health was increased year by year with significant difference between different years (P <0.01). The penalty intensity was increasing year by year. Conclusion In the future, we should strengthen the construction of health supervision teams in public places, increase health supervision and law enforcement, especially physical examination and health knowledge training of practitioners, increase the frequency of supervision and increase penalties; at the same time, equip and perfect monitoring instruments and improve health surveillance and monitoring Service quality and level.