To understand the current state of integrated medical and childcare services in Guizhou Province’s childcare institutions and propose corresponding countermeasures and recommendations.
A cross-sectional study was conducted, involving a questionnaire survey of 574 registered childcare institutions in Guizhou Province. Differences across various types of childcare institutions were examined across three dimensions: childcare provision, health and hygiene, and parenting support.
With regard to childcare and care, the compliance rate for the cumulative duration of daily outdoor activities at the centre was low, with significant differences between institutions(P<0.001). However, services such as sleep monitoring, the frequency of menu changes, and the setting of individualised development goals based on physical and mental development were generally well implemented, with no significant differences between institutions(P>0.05). The rate of regular disinfection of bedding was low, with no significant differences between institutions(P>0.05). In terms of health care:(1) The development of health care systems was inadequate, and there were significant differences between institutions(P=0.015);(2) The implementation rates for physical growth and development monitoring(P=0.002), oral health care(P=0.005) and eye care services(P<0.001) were relatively high, whilst those for psychological and behavioural assessments(P=0.012) and traditional Chinese medicine health care services(P=0.004) were relatively low, with significant differences observed between institutions(P<0.05); Conversely, the rate of establishing individual health management records was high, with no significant differences between institutions(P>0.05), whilst the rate of provision of first-aid supplies for accidental injuries was low, with no significant differences between institutions(P>0.05). Regarding parenting support, more than half of the institutions received medical guidance, and there was a widespread need for family parenting support and policy interpretation, with no significant differences between institutions(P>0.05); however, there was a significant difference in whether institutions that received medical guidance were able to meet infant and child health care needs(P=0.033).
Childcare institutions across Guizhou Province have implemented integrated medical and childcare services to varying degrees, though the standardisation and professionalism of these services remain areas for improvement. The government should expedite the formulation of local standards for integrated medical and childcare services and actively advance the “1+4+N” service model to foster high-quality development in childcare provision.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |