To investigate and evaluate the comprehensive ability and current situation of health care services for climacteric women of medical institutions in Sichuan Province, so as to provide guidance for further improvement of health care services for climacteric women.

A total of 193 physicians who attended the continuing medical education projects held by West China Second University Hospital, Sichuan University and Sichuan Provincial Hospital for Women and Children from November 2016 to June 2017, and 121 hospitals where all of these 193 physicians worked at were selected as research subjects. The self-designed Climacteric Health Care Service Medical Staff and Medical Institutions Questionnaire was used to collect the basic information of physicians and hospitals, the development of climacteric health care services in hospitals, and the physicians′ relative knowledge about climacteric health care services. And the results of questionnaires were analyzed statistically. The proportions of climacteric clinics, full-time and skilled medical staff engaged in climacteric health care services, establishment of health records for climacteric women, regular follow-up visits to climacteric women, applying hormone replacement therapy (HRT) as the conventional treatment method for climacteric syndrome among hospitals with different qualities, in different regions, cities and levels were compared by chi-square test, respectively.

①Among the 193 physicians in this research, the average age was (40.9±8.8) years old. And physicians with bachelor degree or above accounted for 70.5% (136/193), with intermediate professional title accounted for 79.8% (154/193), obstetrics and gynecologists accounted for 58.0% (112/193). ②Among the 121 hospitals in this research, 70 hospitals did not apply HRT as the conventional treatment method for climacteric syndrome which accounting for 57.9% (70/121). And 36 hospitals set up climacteric clinics which accounting for 29.8% (36/121), 25 hospitals equipped with full-time and skilled medical staff for climacteric health care service which accounting for 20.7% (25/121), 29 hospitals established health records for climacteric women which accounting for 24.0% (29/121), and 29 hospitals provided regular follow-up visits to climacteric women which accounting for 24.0% (29/121). ③In this research, the proportions of specialized hospitals with climacteric clinic, equipment of full-time and skilled medical staff for climacteric health care services, establishment of health records for climacteric women, and providing regular follow-up visits to climacteric women were 45.6% (26/57), 36.8% (21/57), 33.3% (19/57) and 33.3% (19/57), respectively, which all were higher than those of general hospitals 15.6% (10/64), 6.3% (4/64), 15.6% (10/64) and 15.6% (10/64), respectively, and all the differences were statistically significant (χ²=12.973, P<0.001; χ²=17.213, P<0.001; χ²=5.188, P=0.023; χ²=5.188, P=0.023). There was statistical difference in the proportions of providing regular follow-up visits to climacteric women among hospitals in different regions (χ²=9.077, P=0.028). And the proportion of hospitals providing regular follow-up visits to climacteric women in eastern Sichuan Province ranked the first which was 54.5% (6/11), and hospitals in western Sichuan Province ranked the second which was 25.9% (15/58). There were statistical differences in the proportions of setting up climacteric clinics and applying HRT as the conventional treatment method for climacteric syndrome among hospitals with different levels, respectively (χ²=10.199, P=0.006; χ²=7.694, P=0.021). And proportions of setting up climacteric clinics and applying HRT as the conventional treatment method for climacteric syndrome of tertiary hospitals both were the highest among hospitals with different levels which were 44.7% (21/47) and 55.3% (26/47), respectively. ④Among the 193 physicians in this research, 99.0% (191/193) of them thought that it was necessary to set up climacteric clinic, 42% (81/193) of them did not know the diagnostic criteria of climacteric symptoms and symptoms related to menopause, 69.9% (135/193) of them did not use the diagnostic criteria of climacteric syndrome and symptoms related to menopause when providing climacteric health care services, 80.9% (169/193) of them knew HRT but considered that individual HRT treatment was difficult, and 1.6% (3/193) even did not know HRT. And 71.0% (137/193) of them got to know HRT through literature.

The constructions of climacteric clinics in medical institutions at different levels in Sichuan Province are insufficient obviously. The basic theoretical knowledge of climacteric health care is scarce. Medical institutions at different levels should raise the awareness of the importance of climacteric health care, and strengthen the health education, relevant facilities and equipment construction, meanwhile, reinforce the construction and management of climacteric clinic, to improve the comprehensive service level of climacteric health care services.