Early life exposure to fine particulate matter (PM2.5) is linked to child development, but limited studies have focused on the specific constituents of PM2.5, and the potential moderating role of residential greenness remains unknown. The aim of this study is to investigate the effects of constituent-specific PM2.5 on child development and explore the moderating role of greenness. This study included 8327 children aged 1–6 years from a nationwide cross-sectional survey in China. We assessed PM2.5 and its five compositions across six exposure windows, covering the preconception, prenatal, and the year before the developmental assessment. Developmental quotients (DQ) across five domains were examined using the Children’s Developmental Scale of China to assess the child development. Greenness was estimated using the Normalized Difference Vegetation Index within a 1000-m buffer (NDVI1000m). Multivariable linear regression models were used to evaluate the associations of PM2.5, its constituents, and child DQ, as well as the effect modification by NDVI1000m. PM2.5 and its constituents were negatively associated with child DQ in motor, adaptability, and social skills. These effects varied by DQ domains and constituents, fine and gross motor domains showed more consistent negative associations, and stronger associations were observed for black carbon (BC), organic matter, and sulfates. Especially, PM2.5 and all five compositions across six windows were consistently associated with lower fine motor DQ [e.g., β = − 4.66, 95

The increasing prevalence of refractive errors in children has raised interest in exploring potential associations with physical development. This study aimed to explore a potential relationship between refractive status and growth parameters among children aged 7–10 years. A multistage stratified random sampling method was adopted to select 1260 primary school students in Pinggu District of Beijing in 2023, to measure their height and weight to calculate the body mass index (BMI). The height-for-age z-score (HAZ) and body mass index z-score(z-BMI) were calculated using the Least Mean Squares (LMS) method. Cycloplegic refraction was performed to determine spherical equivalent (SE). Ocular biometric data were collected, including axial length (AL) and anterior chamber depth (ACD). The ratio of AL to average corneal curvature (AL/CR) were calculated. Group comparisons used χ² test, t-test, analysis of variance (ANOVA) and Wilcoxon rank-sum test. Multiple linear regression models were used to analyze correlations between HAZ, z-BMI and ocular parameters. The myopia rate was 21.19

Assessing myopia risk can help clinicians intervene as early as possible. There is still a lack of reference values for predicting myopia based on the axial length (AL) of children. The study aims to explore the relationship between AL and myopia, and to predict the risk thresholds of AL in children of different age and sex groups. Visual acuity examination, refractive screening and ocular axis examination of 2388 children aged 7–18 (4776 eyes) from 8 schools in a certain area of Beijing were used as the data source, we evaluated the predictive ability of AL for myopia in children using Receiver Operating Characteristic (ROC) curves, and constructed Logistic Regression to analyze the reference value of AL threshold for children of different age and sex groups. The myopia rate among children and adolescents was 51.47

OBJECTIVES:The family physician contract service (FPCS) policy has been implemented for several years within primary healthcare (PHC) institutions in China. However, the specific impact of the FPCS on patients' perceived quality of primary child healthcare remains unclear. Therefore, this study investigates the effect of the FPCS on the perceived quality of primary child healthcare in urban China. STUDY DESIGN:A cross-sectional survey was conducted across twelve community health centers (CHCs) in four provinces of urban China in April 2022. METHODS:A multistage stratified convenience sampling method was employed to recruit parents of children under the age of 16 who had visited CHCs at least once to participate in the study. A validated Mandarin Chinese version of the Primary Care Assessment Tool (PCAT) was utilized to gather information from parents regarding their experiences with primary child healthcare services. To address selection and confounding bias, propensity score matching (PSM) was applied to estimate the average treatment effect on the treated (ATT), followed by a weighted one-way analysis of variance to compare each primary care attribute score reported by the two groups. RESULTS:A total of 7429 respondents were surveyed, with 1976 (26.6 %) in the contracted group and 5453 (73.4 %) in the control group. Following PSM, 3942 participants (1971 in each group) were analyzed, revealing significant pre-matching disparities in demographic and health characteristics, which were balanced post-matching. The analysis indicated that the average total PCAT score notably increased by 6.44 points for those with a contract with a family physician team, with a reduction of 6.25 points would occur if contracted participants discontinued their contract. Each domain score of primary care attributes was significantly higher in the contracted group compared to the control group, both before and after PSM, with notable differences in first-contact utilization, accessibility, continuity of care, coordination of services, and community orientation. CONCLUSIONS:This study underscores the importance of family physician contract services in enhancing the quality of primary child healthcare and emphasizes the need for policy interventions to broaden access and equity in health service provision.

Quantitative methods for estimating the workload of primary healthcare (PHC) workers are essential for improving the performance of PHC institutions. However, measuring the workload of PHC workers is challenging due to the diverse and complex range of services covered by PHC. This study aims to use an equivalent value (EV)-based approach to assess the workload of PHC workers and inform policymakers about the current workload burden in Beijing, China. The EV-based workload assessment system was designed by three main steps: identifying the list of essential PHC service items provided by PHC workers, quantifying the EV of each service item, and calculating the corresponding workload for PHC workers and community health centers (CHCs). The study included 18 CHCs, which were divided into three groups based on population density and topography: Group I (eight urban CHCs), Group II (six CHCs in semi-mountainous areas), and Group III (four CHCs in mountainous areas). Data were collected from local health information system, which automatically collected real-time service volume data for 500 PHC service items at 18 CHCs in the sample district in Beijing from 2017 to 2021. This study identified 503 essential PHC service items and defined their EVs. The theoretical full-capacity workload per PHC worker was 6024 EVs, serving as the base workload. The actual annual workload per PHC worker was 7240.0 EVs during 2017–2021. The base workload per budgeted position for the three types of CHCs was 6468.6 EVs for Group I, 5268.5 EVs for Group II, and 5038.7 EVs for Group III. Compared with the actual workload of 7702.3 EVs, 6568.3 EVs, and 5979.0 EVs in each group, respectively, all PHC workers in the sample district were overburdened during the study period. The EV-based method provides a feasible solution for comprehensively assessing the workload of publicly funded PHC institutions in other regions. This study offers valuable insights to help local policymakers understand the workload burden of PHC workers, objectively evaluate their performance, and guide future health workforce planning.

BACKGROUND:Emerging evidence suggests that exposure to particulate matter (PM) may exert neurotoxic effects, but its impact on neurodevelopment during early life remains poorly understood. This study aims to investigate the association between prenatal and postnatal exposure to PM with varying sizes and neurodevelopmental outcomes. METHODS:This study was based on a nationwide survey of 11,439 children residing in 16 provinces in China. The concentrations of PM with aerodynamic diameters of < 1 μm, 2.5 μm, and 10 μm (PM1, PM2.5, PM10) at the children's residences were estimated using spatial-temporal models. Neurodevelopment was assessed using the China Developmental Scale for Children (0-6 years), which evaluates total developmental quotient (DQ) and DQ across five domains. Multi-variable linear regression models were used to estimate the association between PM exposure and DQ. RESULTS:Both prenatal and postnatal exposure to PM was associated with a reduction in total DQ and DQ in domains including gross motor, fine motor, adaptive behavior, and social behavior. Particles with smaller size showed stronger adverse effects. For instance, a 10 μg/m³ increase in the concentrations of PM10, PM2.5, and PM1 throughout pregnancy was associated with reductions in total DQ of 0.44, 0.52, and 0.74, respectively. Corresponding reductions related to the postnatal exposure during the first two years after birth were 0.46, 0.58, and 0.97, respectively. The fine motor domain was most strongly affected by PM exposure, followed by gross motor. The associations were particularly pronounced among children aged ≥ 24 months, those breastfed for less than 6 months, and those residing in northern China. CONCLUSIONS:Our findings provide robust evidence of the adverse neurodevelopmental effects of early-life exposure to PM. This research identifies the most impacted developmental domains, highlights the most harmful particle size, and underscores vulnerable subgroups， which have significant implications for public health and pollution control.

Background Primary medical institutions, with the characteristics of comprehensive, continuous, coordinated, convenient and economical, play an important role in the diagnosis and treatment of common and frequently-occurring children's diseases, planned immunization and child health management, and lay a solid foundation for children's health services. It is essential to improve the quality of child health services for children under the management of family doctor contract. There are regional differences in the ability of children's health services at primary institutions in China. Therefore, accurate evaluation of the quality of children's health services at primary institutions is helpful to find problems in time and promote the development of children's health services at a higher level. Objective To assess the quality of community children's health services for contracted children, analyze the quality problems and optimization strategies, and provide international vision and decision-making reference for further improving the quality. Methods Taking a district of Chengdu as a typical case, three community health service centers with stronger child health service ability in the district were selected as the sample institutions, and the parents of children contracted by the sample institutions were surveyed with the online questionnaire on the quality of community child health service by using the Chinese version of primary care assessment tool (PCAT) . Results Totally, 3 631 parents of contracted children were investigated. The total PCAT score of community child health service quality in the sample centers was (58.72 ± 13.43). The dimensions with relatively high PCAT scores of community child health service quality includes "continuity" "community first consultation (service availability and service use) " and "comprehensive service (service provision) ", while the dimensions "children and family-Centered" "comprehensive (available services) " and "coordination (referral) " had low scores. Conclusion It is suggested to strengthen the supply of diagnosis and treatment services for common pediatric diseases in the community, unblock the referral mechanism of Pediatrics, strengthen the awareness of parents of contracted children to be included in the contracted service team to participate in diagnosis and treatment decisions, and pay attention to the health services for children with non local registered residence.

The triglyceride glucose (TyG) index is a reliable marker of insulin resistance; however, its combined impact with modifiable lifestyle risk factors and psychological traits on cardiovascular diseases (CVDs) remains unclear.

随着经济的快速发展和生活方式的转变,高血压呈现低龄化趋势.儿童高血压首次测压检出率已由1991年的8.9％增加至2015年的20.5％[1].通过非同日3次血压测量最终确诊为儿童高血压的患者达4％[2].30％～40％的儿童在被诊断为高血压时已出现靶器官损害,以左心室肥厚和肾脏损伤为主[3-5].靶器官损害将影响高血压儿童的远期预后,增加成年后发生其他心、肾疾病的风险,并延长治疗周期、增加治疗费用[69].

Objective:To investigate and analyze the allocation and use of the common pediatric medical equipment and drugs in community health service centers, so as to provide decision-making reference for further strengthening the capacity-building of community children′s health services.Methods:Using multi-stage stratified random sampling method, 30 community health service centers in 14 cities were selected to investigate the basic situation of the sample centers, and the allocation and use of 21 kinds of commonly used pediatric medical equipment and 23 kinds of commonly used children′s drugs from April to August 2020.Results:The overall allocation rate of 21 commonly used pediatric medical equipment in the sample centers was 61.9%, and the overall utilization rate was 62.6%. The overall allocation rate of 23 commonly used drugs for children in the sample centers was 46.67%, and the overall utilization rate was 31.1%. There was a statistically significant difference in the utilization rate of equipment among different levels of urban community health service centers ( P<0.05); There were statistically significant differences in the allocation rate of commonly used children′s drugs among community health service centers under different regions, cities at different levels, types of jurisdictions, and institutional types ( P<0.05). Conclusions:The overall allocation and utilization rate of commonly used pediatirc medical equipment and drugs in urban community health service centers in China were relatively low, especially the drug utilization rate. The author suggested that the government should further strengthen the construction of grassroots pediatric diagnosis and treatment service capabilities, and reasonably equip commonly used pediatric medical equipment and drugs at the grassroots level.

Objective In order to meet the rapid growth of children’s health services and solve the problem of weak comprehensive capacity of children’s health services in community health service centers in China, summarize the experience of children’s health service capacity building in community health service centers in Chengdu and Xiamen, and provide reference for strengthening the children’s health service capacity of primary medical and health institutions in China. Methods Convenient sampling was used to conduct semi-structured interviews with children’s health service workers in five community health service centers in Xiamen and Chengdu from June to November 2020, including 24 participants. The MAXQDA software was used to encode and classify according to the subject, and to describe, sort out and analyze the subject. Results（1） In terms of resource input, although the two cities were the same as the national community health service centers, there was a problem of a small number of pediatricians, but they focused on improving the capacity of existing pediatricians, while giving play to the role of general practitioners in pediatrics, and the investment in children’s related equipment, facilities and drugs was relatively perfect.（2） In terms of service output, children’s diagnosis and treatment service capacity were strong, and the signing service rate of children’s families was high.（3） In terms of service effect, the appropriate performance distribution scheme made the income level of staff high, and comprehensive health services improved the satisfaction of children’s parents. Conclusion Community health service centers in Xiamen and Chengdu have strong ability to provide children’s health services, which benefit from the strong support of policies, the full use of staff and the development of children’s health services with local characteristics.

Purpose To understand the physical and mental health status of primary healthcare providers (PHPs) including physicians, nurses and other staff and the workplace risk factors for depression, anxiety and intention-to-leave. Patients and Methods In December 2021, a national cross-sectional survey was conducted from 62 urban communities in China, and all PHPs were invited to complete a standardized questionnaire. Information on demographic, health-related lifestyle, cardiovascular risk factors and physical health status, occupational stress and intention-to-leave was collected. Depression and anxiety were assessed using the Zung Self-Rating Anxiety/Depression Scale (SAS/SDS). Results A total of 4901 PHPs were included. 67.0% males currently drank alcohol vs 25.3% in females; 36.0% males currently smoked cigarettes vs 1.4% in females. Notably, more than half males were overweight or obese, but this proportion was 24.2% in females. The prevalence of chronic diseases, including hypertension, diabetes, dyslipidemia, non-alcoholic fatty liver disease, gout, and disease clustering were higher in males than in females. The prevalence of depression and anxiety were high, 50% had depression, of whom 15.6% had moderate/severe depression. Over 15% participants had varied levels of anxiety, and approximately 4% had moderate/severe anxiety. PHPs who aged 18–29 (OR: 1.31, 95% CI: 1.05–1.64), were males (OR: 1.34, 95% CI: 1.14–1.57), with lower professional title (comparing with staff with senior title, the ORs of the intermedium, junior and none were 1.83, 2.18 and 2.49, respectively), took charge in nursing (OR: 1.41, 95% CI: 1.20–1.65), with higher perceived stress level (OR: 1.82, 95% CI: 1.41–2.34), and suffering from severe fatigue (OR: 2.55, 95% CI: 1.99–3.27) were more likely to have depression. Likewise, PHPs who were younger, with intermedium professional title, had higher perceived pressure level, and higher fatigue levels were more likely to have anxiety. Conclusion The mental health of PHPs is worrisome, with a high burden of chronic diseases and occupational risk factors. Younger PHPs, nurses, and those with higher levels of work pressure and fatigue are more vulnerable to psychological problems. The high prevalence of intention-to-leave calls for strategies that relieve the workplace stress and enhance the human resource capability.

目的 了解北京市基层常见儿童疾病,探索基于儿童常见病不同岗位儿童健康服务人员相对个性化的能力培训需求,为加强基层儿童健康服务人员培训提供参考.方法 抽取北京市城区、近郊区和远郊区7个样本区的社区卫生服务中心作为样本单位,采用自行设计的调查问卷,由样本中心医疗岗和保健岗儿童健康服务人员自愿匿名在线填写,共成功调查940例.采用Excel进行数据整理,采用SAS 9.1统计学软件进行数据处理.结果 北京市基层常见儿童疾病病种排序前5位的疾病为急性上呼吸道感染、肺炎、腹泻、湿疹、龋齿.针对5种常见儿童疾病,每种疾病有培训需求的人数占比分别为65.11％、40.53％、55.00％、58.72％和31.17％,每种疾病对应的不同培训内容需求总人次数分别为1 113、648、902、1 003和460人次.基层医疗岗和保健岗儿童健康服务人员对上述5种儿童常见疾病的培训需求人次总数分别为1 307人次和2 359人次.结论 北京市不同基层岗位儿童健康服务人员针对不同儿童疾病的培训需求存在差异,应科学设计培训内容,尽可能提高培训的针对性和精准性,满足不同岗位对不同病种的差异化培训需求.

Aims: The child restraint system (CRS) for vehicles is designed to provide specialized protection for children in the event of a crash. The aim of the study was to investigate the rate of CRS use and analyze the factors associated with CRS use among children aged under six years in China, and to provide further insight into developing strategies for promoting public health education. Methods: This is a cross-sectional study. The study sites were 36 primary healthcare institutions in 12 provinces across China, and the participants were 34,503 guardians of children aged 0–6 years. Guardians who owned private cars were included and completed surveys about their experience using CRS. Odds ratios and 95% confidence intervals were calculated using multivariate logistic regression models. Results: The overall rate of CRS use among children aged under six years in China was 17.3%. Multivariate logistic regression analysis revealed that living in an urban area, low age of the child, guardians having higher education and being looked after by parents had a significant positive association with CRS use among children aged under six years. Conclusions: This study confirms that there is a low rate of CRS use among children aged under six years in China, highlighting the considerable need for CRS use education, advocacy and promotion of increasing use.

Background In 2019, the National Health Commission issued the Capacity Standards for Community Health Service Center (2018 version), which proposed that the 56 common disease species should be offered diagnosis and treatment services by CHSC, but it did not specify the common disease species of children in the community, which to some extent affects the assessment and construction of CHSC capacity in the community. Objective To investigate and analyze the common childhood disease species and their characteristics in community health services, in order to provide a reference basis for further community child health service capacity building. Methods In April 2020, a convenience sampling method was adopted to select community health service agencies in 11 different level cities in China as the sample unit. A self-designed questionnaire was administered to cover the subject's basic condition, the common childhood disease conditions suitable for diagnosis and treatment in the community, and their sequencing. Filled out online voluntarily anonymously by child health service personnel at the sample institution, 3 090 cases were successfully investigated. Respondents ranked the common degree of children's related disorders from low to high, assigning 1 to 5 points to each of the top 5 common childhood disorders, which is, assigning 5 points to ranked 1, 1 point to ranked 5, and 0 points to unselected, calculating a total and sorting by total score. Results The top 5 disease categories for children in the community were acute upper respiratory infection, diarrhea, bronchitis, pneumonia, and eczema. Of the top 10 ranked community common childhood disorders, 3 were respiratory, 3 were facial and dermatologic, 2 were infectious, and 1 each was a digestive and growth and development related disorder. The top 5 common childhood diseases ranked by different regions, different levels of cities and different posts were consistent, but the ranking order was different, but there were differences in the 6th-10th disease species and order. Conclusion The current coverage of common childhood diseases in community health services is high. There is regional, urban, and post heterogeneity in common childhood disease species in communities. Construction of community child health service capacity should be oriented to improve the capacity of diagnosis and treatment service of common childhood diseases in the community, and fully consider the disease species variability in different regions, cities, and posts.

This study aims to explore the attitude, willingness, and satisfaction with contracted service (CS) among staff in community health service (CHS) centers in urban China and to explore the associated factors of satisfaction with CS. From August 2016 to July 2017, five CHS centers in three provinces of China were selected. Setting-level information was collected by official document review; and personal information on demographic characteristics, awareness, willingness, and attitude of CS among staff was collected by questionnaire survey. Univariate and multivariable logistic regression models were fitted to explore the associated factors of satisfaction with CS. Multiple correspondence analysis (MCA) was used to visually demonstrate the correlations among category data related with satisfaction with CS. The CS signing rates were 30.78, 12.72, 22.20, 14.32, and 21.19% in the five CHS centers. A total of 286 staff included family doctors (40.91%), nurses (31.12%), and others (27.97%) completed the survey. For the sense of self-worth, 86.01% (246/286) participants hold a positive attitude. The predominant barrier of CS signing was caused by the work pressure due to CS performance assessment (48.60%, 139/286). About 30% of family doctors and nurses reported a heavy work pressure, and more than 30% of doctors had great feeling of fatigue. Notably, 51.69% family doctors would like to change their job in the future. Compared with other staff, family doctors were more likely to be unsatisfied with CS (OR: 2.793, 95% CI: 1.155–6.754, p = 0.022). Participants in Sichuan province have lower satisfaction than other places. The MCA yielded similar factors consistent with multivariable results of clustering with different levels of CS satisfaction. Our study revealed that the CS coverage and satisfaction among staff from the primary healthcare system varied geographically and are associated with professional field, workload, and pressure. Measures that aim to promote the stability of primary care human resource should be considered in the future.

考核分配机制是家庭医生签约服务制度可持续、高质量发展的根本,是调动家庭医生团队积极性、主动性的核心,更是家庭医生签约服务制度建设的"最后一公里".目前,签约服务考核分配机制分为两个层面,即机构外考核和机构内考核,相较于相对完善的机构外考核机制,机构内考核模式亟待探索和完善.

Objective:To provide strategic suggestions for optimizing children′s diagnosis and treatment services in the communities, by means of analyzing the overall efficiency of children′s diagnosis and treatment services in the sample community health service centers, and learning the current input and output of children′s diagnosis and treatment resources.Methods:In April 2020, a total of 27 community health service centers in 14 cities were selected by random sampling. Data such as the number of medical visits by children aged 0 to 18 years and the area of pediatric diagnosis and treatment departments in the sample centers in 2019 were collected by self-filling questionnaires. Excel was used for data sorting. Data envelopment analysis(DEA) was used for data processing. The data processing tool was DEAP 2.1.Results:The average comprehensive efficiency, the average technical efficiency and the average scale efficiency of the 27 sample community health service centers were 0.445, 0.865 and 0.494 respectively. There were five DEA efficient centers, 4 DEA weak inefficiency centers and 18 inefficient centers. Six out of 18 DEA inefficient centers had redundant input of healthcare professionals capable pediatrics; 12 centers were short of children visits, and 15 were short of visits by children aged 0-6 years.The centers where DEA was inefficient were concentrated in the central region, the suburbs and " centers with independent pediatric clinics but without pediatric wards" .Conclusions:The comprehensive efficiency of children′s diagnosis and treatment services in the sample community health service centers is relatively low. Currently, the sample community health service centers are faced with such problems as small and insufficient input of children′s diagnosis and treatment resources in the community, unbalanced development of children′s diagnosis and treatment services in the region among others. It is suggested that on the basis of making full use of the existing resources to create the maximum output value, we should consider appropriately expanding the scale of resource input to improve the efficiency of children′s diagnosis and treatment services at the primary level and further give play to the value of the " gatekeepers" at the primary level in children′s diagnosis and treatment.

背景 随着"二孩"政策的开放,我国儿童人口数量逐步增加,儿童健康服务需求呈现快速增长态势,但当前我国社区卫生服务中心儿童健康服务能力尚不清晰.目的 了解当前我国部分城市社区卫生服务中心儿童健康服务能力的现状.方法 2020年4月,采用多阶段分层抽样的方法,在全国抽取了35家社区卫生服务中心及样本中心的全部儿童相关服务人员作为研究对象.采用自制的样本中心调查表及儿童相关医务人员调查问卷以线上调查的形式,调查社区卫生服务中心的基本情况、人员设备设施配置、业务开展情况及儿童健康服务人员知识水平和满意度等.结果 本次调研共包含全国的14个城市的35家社区卫生服务中心,样本中心卫生技术人员总数8009人,儿科医生〔执业范围含儿科学的执业(助理)医师〕191人(2.38％),看儿科的全科医生(通过儿科转岗培训并从事儿科诊疗工作)488人(6.09％),儿保医生320人(4.00％);其中儿科医生154人(80.63％)具有本科及以上学历、112人(58.64％)具有中级及以上职称,看儿科的全科医生293人(65.37％)具有本科及以上学历、355人(79.30％)具有中级及以上职,80.00％以上儿保医生具有执业医师证和培训合格证.共计999人接受满意度和知识水平调查,人员的平均满意度为(61.38±9.11)％,平均知识水平测试正确率(50.40±21.93)％.儿科相关诊疗科室面积平均占比不足1％,超过90％的机构配备了8种儿童常见设备,但仍有超过一半机构的儿童常用的诊疗设备配备不足7种;23种儿童常用药品中仅有10种超过50％的机构进行了配备.2019年度机构平均儿童诊疗人次占2.91％,儿童入院人次占1.48％;国家基本公共卫生项目开展率达85％以上;管理数量最多的重点儿童是单纯性肥胖儿童,最少的是先天性髋关节脱位的儿童.结论 社区卫生服务中心儿童相关服务人员数量不足,学历及职称较高但理论知识水平不高,人员满意度较低;社区卫生服务中心儿童医疗相关类设施设备及药品配备不足;儿童健康服务水平空间分布不均衡.为提升社区儿童健康服务能力水平,应加强指导培训以提高基层工作人员的能力水平,建立有效的考核机制以提升基层工作人员的满意度;增加儿童药品种类及数量的配备、合理配置儿童诊疗设备实施.

目的 评价社区卫生服务机构儿科医生的继续医学教育培训现状和需求,为提高存量社区儿科医生的服务能力提供参考.方法 抽取全国11个城市社区卫生服务机构作为样本单位,采用自行设计的调查问卷,由样本机构儿科医生(含能看儿科疾病的全科医生)自愿匿名在线填写,共成功调查378人.采用EXCEL进行数据整理,SAS 9.1统计学软件进行描述性统计分析处理.结果 从现状来看,19.05％的调查对象表示接受过继续医学教育相关需求调查,55.82％的调查对象对培训内容的适用性表示"非常好或好",培训师资满意度为66.67％,高于培训内容(61.38％)、培训形式(59.26％)的满意度.继续医学教育内容以"合理用药"的比例最大(82.01％),继续医学教育形式以"网络学习"占比最高(80.16％).从需求来看,"疾病诊疗""合理用药"和"急诊急救"是社区儿科医生培训需求最大的,占比分别为85.45％、87.83％和85.19％."培训班""学术讲座会议"和"网络学习"3种形式是基层儿科医生最希望的培训形式,占比分别为66.14％、60.85％和61.90％.结论 目前社区儿科医生培训需求评估不足,培训内容、形式以及培训效果有进一步提升空间;社区儿科医生培训内容和形式需求有其独特性和差异性,应关注其个性化培训需求.