关键词: 高危儿, 分类转诊, 系统管理

Abstract: Objective To explore the effects of classified referral of high risk infants on child health care in community. Methods From April 2014 classified referral of high risk infants were carried out in Jiaotong community,distribution of high risk infants were observed after referral.Referral situation before and after classified referral and attitudes of parents of high-risk infants were analyzed. Results There were 395 infants before classified referral,110 high risk infants,and there were 478 infants after classified referral,143 high risk infants,including 108 type Ⅰ and 35 type Ⅱ.The referral rate after classified referral was significantly lower than that before classified referral (P<0.01);the compliance rate was significantly higher than that before classified referral (P<0.01);There were no significant differences of the screening rate,positive rate and rate of project management between the two groups(P＞0.05).The necessity,compliance and understanding of parents of high risk infants of type Ⅱ were much higher than those of parents of type Ⅰ(P＜0.01). Conclusion As the important part of systematic management of high risk infants,classified referral of high risk infants could improve the compliance,promote the community management mode of high risk infants,and could be popularized in child health care of community.

Key words: high risk infant, classified referral, systematic management