目的 完善现行<出生医学证明>管理办法,减少补发、换发及废证数,从而更好地服务于社会大众.方法 从2007~2010年签发情况登记本、<出生医学证明>管理软件中提取相关资料,核对年报表,按补发、换发、废证原因分类,进行描述性分析.结果 2007~2010年共使用4 218套<出生医学证明>,其中,首次签发3 587套,换发138套,补发41套,废证452套.结论 家长不了解<出生医学证明>法律效力、重要意义及工作人员不了解办证原则、责任意识不强是造成换发、补发、废证的主要原因.%Objective To perfect the existing management method of medical birth certificate, reduce the replacement, renewal and waste number of certificate, in order to provide better serve to public. Methods From 2007 to 2010 data was selected from record copy of medical birth certificate and management software of medical birth certificate. The annual reports were checked, according to the classification of replacement, renewal and waste of medical birth certificate. The data was analyzed descriptively. Results A total of 4 218 sets of medical birth certificate were used from 2007 to 2010, among which 3 587 sets were issued for the first time, 138 sets were renewal, 41 sets were complementary and 452 sets were waste. Conclusion The main reasons of replacement, renewal and waste of medical birth certificate are that parents do not understand the legal validity and important significance of medical birth certificate, and staff do not understand the principles of accreditation and have strong sense of responsibility.
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