湖北省乡镇卫生院检验科现状调查与分析  

作　　者：谢圣高[1] 何绍斌[2] 金丹[1] 吴瑰[1] 宁勇[1] 

机构地区：[1]湖北中医药大学检验学院,湖北武汉430065 [2]湖北省卫生厅农卫处,湖北武汉430071

出　　处：《中国农村卫生》2013年第03Z期25-26,共2页

基　　金：湖北省卫生厅资助项目：鄂卫办函（2011）50号

摘　　要：目的了解湖北省乡镇卫生院检验科现状。方法通过现场考查、问卷调查以及座谈交流三种方式对786家湖北省乡镇卫生院检验科的人力资源、开展项目、仪器设备、质量控制等现状进行调查分析。结果约1／4的卫生院检验人员只有1人，大于4人的不到6％。平均年龄为55岁，男女比例为0．60：1。中专、专科学历者占90．2．4％，其中以原始中专学历居多，且绝大多数专科是在职文凭。有16．90％的是转行做检验。初级职称占70．92％。近80％以上的单位开展了血尿粪三大常规，肾功能，肝功能，血糖，钾钠电解质，乙肝和妇科常规检查等。70％以上的拥有半自动生化分析仪、全自动血细胞分析仪、尿液分析仪。做了室内质控的占68．96％，参加省室间质评的占6．52％，质量管理较为薄弱。结论湖北省乡镇卫生院检验科人员结构包括性别比例、学历、职称不尽合理，特别对“半路出家”从业人员的技能培训亟待提高。虽然检验项目和设备状况有一定的拥有率，但资源利用率不高、质量管理不规范。应采取综合措施，对人员、设备、检验质量等各方面进行科学管理和全面改善，为临床提供准确可靠的检验结果，保证病人得到有效的诊疗，完善新型农村合作医疗制度。Objective To understand the current situation of laboratory of township hospitals in Hubei province. Methods The current human resources, test items, equipment and quality control were surveyed and analyzed through on-site visits, questionnaires, as well as exchange forum for laboratory of 786 township hospitals in Hubei province. Results There was only 1 practitioner of about 1/4 laboratory of the township hospitals. 4 and above practitioners were less than 6%. The average age was 35 years, The male to female ratio was 0.60：1. The technical secondary school and professional diploma were accounted for 90.24%, of which the majority of the original technical secondary school was educated, and the vast majority of professional diploma was incumbent. 16.90% career as a laboratory practitioner was switched to. Junior titles were accounted for 70.92%. Nearly 80% of the units carried out three routine （blood, urine and feces）, renal function, liver function, blood glucose, potassium and sodium electrolytes, hepatitis B and gynecologic routine examination. More than 70% had a semi-automatic biochemical analyzer, automatic hematology analyzer and urine analyzer. Internal quality control and external quality assessment were accounted for 68.96% and 6.32% respectively. Quality management was weak. Conclusions The personnel structure for laboratory of township hospitals in Hubei province including sex ratio, education and job title is not reasonable, especially skills training of halfway decent staff needs to be improved. Although the test items and equipment ownership rate are moderate, resource utilization is not high. The quality management is not standardized. Adopt comprehensive measures should be used. Scientific management and an overall improvement in all aspects of personnel, equipment and quality management should be carried out, to provide accurate and reliable clinical test results, and to ensure that patients can receive effective diagnosis and care, and to improve the new rural cooperative medical care sy

关 键 词：9镇卫生院检验科 现状 调查 分析 

分 类 号：R197.62[医药卫生—卫生事业管理]