北京市区县二级医院神经内科医疗资源现况调查与对策  

A survey of neurological medical care resources in grade Ⅱ suburban and urban hospitals in Beijing

作　　者：王伊龙[1] 王拥军[1] 赵性泉[1] 廖晓凌[1] 吴敌[1] 杨亚琴[1] 陈启东[1] 胡长梅 杨卿 

机构地区：[1]首都医科大学附属北京天坛医院神经内科,100050 [2]北京市脑血管病防治办公室

出　　处：《中华内科杂志》2007年第4期302-305,共4页Chinese Journal of Internal Medicine

基　　金：首都医学发展科研基金(2002-1010)

摘　　要：目的对北京二级医院神经内科的医疗服务进行现况调查。方法对北京市66家二级医院进行定性与定量结合的普查。结果收治的病种以脑血管病为主(84%)。城区二级与三级医院的比例为58:60;而远郊区县为48:6。远郊区县中,能提供尿激酶和组织纤溶酶原激活剂(t-PA)溶栓治疗的医院仅占64.7%和26.5%。结论担负脑血管病救治重任的远郊二级医院尚不能满足需求。应加强培训、建立远程医疗模式。Objective To survey the current availability of expertise in diagnosis and treatment of neurological diseases in grade Ⅱ hospitals （primary hospitals） in Beijing. Methods Observation, personal indepth interview and structured questionnaire methods were conducted to survey the status of neurology health care system. Results From June to August 2005, 66 grade Ⅱ suburban and urban hospitals in Beijing of China were investigated. There were 66 grade Ⅱ hospitals in Beijing （ suburban 34; urban 32）. Cerebrovascular disease was the most common disease. Accounting for 84% of the hospitalized cases in inpatients neurology departments. In urban areas, the propotion of grade Ⅱ and grade Ⅲ hospitals （ referral hospitals） was 58： 60, but in suburban and rural areas, the proportion was 48： 6. In suburban and rural areas. Only 64. 7% of the hospitals could provide urokinase treatment, 26. 5% could provide recombinant tissue plasminogen activator （rt-PA） treatment and 58. 8% had standardized operation protocol. Conclusions The grade Ⅱ hospitals in suburban areas have heavy grave responsibility to deal with cerebrovascular disease , but these hospitals are in lack of specialists, diagnostic equipments and stroke treatment protocols and could not satisfy the medical demand. It is suggested that in the grade Ⅱ hospitals in suburban areas of Beijing, strengthening personnel training, establishing primary stroke center and setting up telestroke emergency care systems are urgently needed.

关 键 词：脑血管意外 医疗服务限制 神经内科 二级医院 北京 

分 类 号：R197.3[医药卫生—卫生事业管理]