Abstract：Objective To analyze the status quo of health care capability allocation in primary and middle schools in Hunan province so as to provide a basis for improving health care capability of elementary and secondary schools. Methods We conducted a questionnaire survey on health care capability building in elementary and secondary schools, and then analyzed the status quo of establishment of health care institutions and allocation of health care professionals in elementary and secondary schools in Hunan province by using the directed reported data which came from the data acquisition platform of school health work system and capability building. Results Among 12,614 elementary and secondary schools surveyed in Hunan province, 3,599 boarding schools and 1,704 non-boarding schools with more than 600 students had only 898 full-time school physicians, which lagged behind the basic required numbers of 9,967. There were only 197 full-time health care teachers in 7,311 non-boarding schools with less than 600 students. 7.3% of the surveyed schools set up health clinics, and 29.6% had health care rooms. 7.5% of the surveyed schools wereequipped with school doctors, and only 5.3% with full-time school doctors, reaching a qualified rate of 1.3%. 45.6% ofthe surveyed schools were equipped with health care teachers, and only 6.6% had full-time health care teachers. 90.0% of the surveyed schools provided health-related courses. 5.7% of school doctors and 26.5% of health care teachers had participated in health professional technical training. With the increase of school age, the improvement of local economic level and the enlargement of school scale, theproportions of schools having health clinics or health care rooms, having (full-time) health care teachers, having (full-time) school doctors, providing health courses, and having health care teachers or school doctors participating in school health professional knowledge training showed a gradual upward tendency (all P<0.001). Conclusions There exists a large gap in the number of health care institutions and professionals in the elementary and secondary schools in Hunan province, and special attention should be paid to the health care capability of primary schools with less than 600 students. Health care teachers and school doctors lack health professional knowledge training. Economic level is still one of the key factors affecting health care institutions and allocation of professionals in schools. The results suggest that health care work capability of the elementary and secondary schools can be promoted through increasing the funds for school health work, continuously improving the establishment of school health care institutions, increasing school health care personnel rationally and providing professional technical training for health care personnel.
胡冀, 胡世雄, 李开宇, 王非, 谭雅卿, 陈艳华. 湖南省中小学校卫生保健能力现状及改善策略[J]. 实用预防医学, 2020, 27(11): 1285-1289.
HU Ji, HU Shi-xiong, LI Kai-yu, WANG Fei, TAN Ya-qing, CHEN Yan-hua. Status quo of health care capability and its improvement strategy in primary and middle schools in Hunan province. , 2020, 27(11): 1285-1289.
2020, Vol. 27 
