目的 了解我国妇幼保健机构及其他医疗机构的更年期保健门诊开设情况及服务提供情况，为加强更年期保健工作建设提供参考依据。方法 本研究采取随机抽样方法，于2022年在全国31个省(自治区、直辖市)对411家医疗机构开展问卷调查，调查医疗机构更年期保健门诊开设情况及2019—2021年各项服务提供情况，使用χ²检验对不同类型不同级别医疗机构的差异进行分析。结果 本研究共调查了411家医疗机构，共有143家(34.79%)机构开设了更年期保健门诊，其中妇幼保健机构和综合医院/妇产医院更年期保健门诊开设比例分别为49.28%和19.80%，差异具有统计学意义(χ²=39.349,P <0.01)。省级、地市级和区县级机构开设比例依次为72.50%、44.83%和21.68%，差异具有统计学意义(χ²=48.628,P <0.01)，但东、中、西部地区间开设比例的差异无统计学意义(P=0.250)。2019—2021年门诊年均诊疗人次中位数从200人次增至535人次，但仅23.08%的机构达到国家更年期保健特色专科评估标准。50.00%以上医疗机构提供营养、心理评估等更年期保健服务，但达标率普遍低于30.00%，妇幼保健院和综合医院/妇产医院各项服务提供情况及达标情况的差异无统计学意义(均P> 0.05)。综合医院/妇产医院(82.50%)的信息化便民服务应用率高于妇幼保健院(63.11%,P=0.025)。结论 各地积极开设更年期保健门诊，但更年期保健服务存在机构类型、层级间的不均衡，基层服务能力亟待提升。

Objective To understand the opening of menopausal health care clinics and the provision of services in maternal and child health care institutions and other medical institutions in China and provide a reference basis for strengthening the construction of menopausal health care. Methods A random sampling method and a questionnaire survey were used in 31 provinces(autonomous regions and municipalities directly under the central government) in 2022 to investigate the opening of menopausal healthcare outpatient clinics and the provision of various services in 411 medical institutions from 2019 to 2021. The χ² test was used to analyze differences among various types and levels of medical institution. Results A total of 411 medical institutions were surveyed in this study, and 143(34.79%) institutions opened menopausal healthcare clinics, of which the proportion of women's and children's healthcare institutions and general hospitals/maternity hospitals opening menopausal healthcare clinics was 49.28% and 19.80%,respectively, with statistically significant difference(χ² = 39.349, P < 0.01). The proportions of provincial, municipal, and county-level institutions opened were 72.50%, 44.83%, and 21.68%, respectively, with statistically significant differences(χ² = 48.628, P < 0.01),but there was no statistically significant difference in the proportions of openings between the eastern, central, and western regions(P =0.250). The average median annual number of outpatient visits increased from 200 in 2019 to 535 in 2021, but only 23.08% of the institutions met the national assessment standards for menopausal healthcare specialties. More than 50.00% of the medical institutions provided menopausal healthcare services such as nutrition and psychological assessment, but the rate of meeting the standards was generally lower than 30.00%. The differences in the provision of each service and the attainment of standards were not statistically significant(P > 0.05). The application rate of informatization convenience services in general hospitals/women's hospitals(82.50%)was higher than that in maternal and child healthcare hospitals(63.11%, P = 0.025).Conclusion Menopausal health care clinics have been actively opened in various regions, but there are imbalances in menopausal health care services between types of institutions and levels. The capacity of grass-roots services needs to be urgently upgraded.