山东省三级甲等医疗机构眼科现状调查  

Survey of eye care services of 3 Grade A hospitals in Shandong Province

作　　者：吴慧[1] 毕宏生[1] 安淑敏[2] 李传播[2] 赵海强 李朝峰 

机构地区：[1]山东中医药大学眼科研究所,济南250002 [2]山东省卫生厅,250014 [3]山东施尔明眼科医院,250002

出　　处：《眼科》2013年第6期408-410,共3页Ophthalmology in China

摘　　要：目的了解山东省三级甲等医疗机构眼科资源和服务能力,为全省防盲治盲工作的有效开展提供依据。设计横断面问卷调查。研究对象山东省28家三级甲等医院眼科。方法以信函方式由山东省卫生厅发放中华医学会设计的《眼科基本情况调查表》,调查表由眼科负责人填写,收集后对相关数据进行分析。主要指标医护人员数量、医护人员职称与学历、医疗设备数量、门诊量等。结果 2011年山东省28所三甲医院眼科开放床位数875张,病区47个,均为有科主任或者负责人的独立科室。眼科共统计各类设备468件。眼科医务人员总数844人,其中眼科医师、护理人员分别占51.3%和48.7%,平均每所医院的眼科医师15.5人,医师高级、中级和初级及以下职称所占比重分别为47.1%、34.9%和18.0%;省部属医疗机构眼科执业医师数量[(23.7±12.3)人]明显多于市级[(12.1±7.2)人]医疗机构(t=2.364,P=0.00)。从2008年到2010年山东省眼科平均年门诊人次从25 289人次增长为27 528人次,科室平均年出院人次从1203人次增长为1423人次,科室平均年手术人次从914人次增长为1133人次,均呈递增趋势;平均住院日从7.49日缩减为7.01日,呈递减趋势;山东省开展的眼科手术每年均以白内障手术居多,从2008年开展8155例到2010年开展10595例,每年均占总手术量的50%以上。结论山东省眼科医疗服务水平有所提高,但是眼科资源配置不均衡,需要进一步资源整合和优化,为患者提供更高质量的眼保健服务。(眼科,2013,22:408-410)Objective To analysis the ophthalmology resource and service skills in 3 Grade A hospitals to provide the basic infor- mation for the prevention and treatment of blindness in Shandong province. Design Cross-sectional questionnaire survey. Participants Department of Ophthalmology in twenty-eight 3 Grade A hospitals in Shandong Province. Methods The ophthalmology status survey forms designed by Chinese Medical Association was used to investigate the institutions of ophthalmology. The collected data were ana- lyzed using SPSS16.0 software. Main Outcome Measures Number of ophthalmologists and ophthalmic nurses, educational level and ti- tle of ophthalmologists and ophthalmic nurses, outpatient volume per year, number of medical equipment. Results There were totally 875 opened beds and 47 inpatient areas in the department of ophthalmology in twenty-eight 3 Grade A hospitals. They were all the in- dependent department that have director or responsible person. There were 468 ophthalmic equipment and 844 medical personnels in the 28 hospitals, including doctors（51.3%） and nurses（48.7%）, with 15.5 doctors on average in each hospital. 47.1% of health workers had senior professional title, 34.9% had middle professional title, and 18.0% had primary professional title. The average number of doc- tors worked in the institutions belong to the province and ministry （23.7±12.3） was more than that of whom worked in the institutions belong to municipal （12.1±7.2）（t=2.364,P=0.00）. From 2008 to 2010, the number of average out patients have been increasing from 25289 to 27528, the discharged patients have been increasing from 1203 to 1423, and the surgery patients have been increasing from 914 to 1133. Average lena.th of stav has been deseending from 7.49 to 7.01 davs. The number of cataract surgeries have been increasinzfrom 8155 to 10595 from the year 2008 to 2010, which accounted for more than 50% of all surgical cases in these years. Conclusion The level of eye care service were improved in our province, but

关 键 词：三级甲等医院 眼科机构 问卷调查 

分 类 号：R197.3[医药卫生—卫生事业管理]