湛江市近3年肾病专科医疗服务能力及发展情况初步调查  

Capacity and development of medical services in nephrology:A pilot survey during the past three years in Zhanjiang

作　　者：丁英 李维嫣[2] 罗勉娜[3] 曾蕾 徐晓英 黄玉英 孙移 庞兆辉 陈华基 姚翠微[3] 刘华锋[3,4] 

机构地区：[1]南海西部石油公司医院血液透析中心,广东湛江524001 [2]广东医学院附属医院人力资源部,广东湛江524001 [3]广东医学院附属医院肾内科,广东湛江524001 [4]湛江市医学会肾脏病与风湿病学分会,广东湛江524001

出　　处：《广州医科大学学报》2015年第6期54-58,共5页Academic Journal of Guangzhou Medical University

基　　金：湛江市科技攻关计划项目(编号:2012C3102038)

摘　　要：目的:初步调查湛江市近3年肾病医疗服务资源和医疗队伍发展状况。方法:连续三年对湛江地区五县四区各家医院肾脏病专科的建设和专科服务开展情况开展实地调查,调查内容包括专科病床数、血透床数、门诊量、出入院量、以及血液透析各种专科业务开展情况等;同时对全市各肾病中心专科医师的配备情况以及人员基本素质进行调查;最后与我市肾脏疾病防治需求情况进行对比分析。结果:1、目前全市共有14家医院开展肾脏病专科服务,其中7家医院设立独立肾病专科;全市开放肾病专科病床从2010年的229张,增至2012年的289张,其中县区医院肾病专科病床由2010年的73张增加至现在101张,增长38.4%:全市血透床位由2010年的174张扩增至目前的232张,增长33.3%。近3年本市全市肾病专科住院患者从2010年5 023人次增至2012年的5 926人次,但80%集中在5间市级医院;专科门诊量2010年的51 674人次,与2012年的51 828人次基本持平,市区外医院专科门诊量仅为市区医院的1/16左右。全市近3年每年血液透例次均以20 000例次递增,分别73 796、97 937、124 737例次,其中区、县级医院血透业务量约占1/3;肾病专科技术主要集中在市区开展,如肾活检每年约550例以上,而市区医院占的比例就超过90%:相比2010年,临时血透通路置管术、内瘘手术,其它血液净化技术,如腹膜透析、血滤、血液灌流等技术近两年例数都呈缓慢增加的趋势,区、县医院增加例数大于市区医院,而CRRT目前仅在市级医院开展,县级医院尚未开展。2、近两年肾专科医师由2011年的62名增至2012年的78名,专科护士由103名增至169名;在学历方面,专科医师主要以本科学历为主,约占70%;而专科护士主要以大专、中专学历为主,约占80%。在职称方面,近两年专科医师主要以高级和初级为主,中级职称均在25%以下,呈两头大,中间窄的现象;专职护士主要以Objective：To preliminarily investigate the situation of medical resources and development of medical team in nephrology in Zhanjiang during the past three years,so as to provide administrative authorities reference data for decision-making related to health development strategies,rational deployment of local hospitals,and development of specialist services in nephrology.Methods：During a period of three consecutive years,we performed a field survey on construction and specialisl services of nephrology in hospitals located in 5counties and 4 districts of Zhanjiang.The survey covered;patient beds in nephrology departments,dialysis beds,outpatient turnover,total numbers of hospital admission/discharge,patients on hemodialysis,and nephrologist practicing.At the same time,we also surveyed on deployment of nephrologists in the city＇s nephorology centers and their qualifications,finally,these data were analyzed with comparison to the need of kidney disease prevention in Zhanjiang City.Results：（1） During the lime of survey,nephrology services were available in a total of 14 hospitals in Zhangjiang,including 7 hospitals with an independent department of nephrology.In this city,available nephrology beds had increased from 229 in 2010 to 289 in 2012.In particular,these nephrology beds had increased from 73 in 2010 to 101 at the time of survey（up 38.4%） in county and district hospitals.The hemodialysis beds in Zhanjiang had increased from 174 beds in 2010 to 232 at the time of survey（up 33.3%）.During the past three years,the annual number of hospitalized nephrology patients had increased from 5023 in2010 to 5926 in 2012;however,80%of these patients were from the 5 municipal hospitals;the outpatient visits were 51674 in 2010,comparable to 51828 in 2012.Notably,the outpatient turnover in outskirt hospitals was only1/16 the turnover in municipal hospitals.The total yearly numbers of patients on hemodialysis were 73796,97937,and 124737,respectively,during the past 3 years,by an annual increase of 20000 cases.O

关 键 词：肾脏疾病 医疗服务 医疗队伍 

分 类 号：R62[医药卫生—整形外科]