我国麻醉学科人力资源调查：从麻醉学科人力资源现状探讨我国医疗卫生人力资源配置改革方向  

A survey of human resources of the Anesthesiology in China： investigation of reform direction of human resources allocation of Chinese medical and health system based on the current status of hu-man resources of the Anesthesiology

作　　者：杨磊[1] 朱涛[1] 李佳瑾[2] 刘进[1] 

机构地区：[1]四川大学华西医院麻醉手术中心,成都市610041 [2]四川大学华西医院医保办公室,成都市610041

出　　处：《中华麻醉学杂志》2017年第11期1281-1286,共6页Chinese Journal of Anesthesiology

摘　　要：目的调查我国麻醉学科人力资源现状，探讨我国医疗卫生人力资源配置改革方向。方法由中华医学会麻醉学分会于2015年3月1日至2015年6月30日组织并展开，调查中国大陆地区（除港澳台外）所有开展临床麻醉工作的医院。问卷包括医院一般信息、麻醉相关信息以及外科相关信息。结果共计发放16280份问卷，回收14076份问卷（86．462％）。回收问卷中的13489份问卷（82．856％）为麻醉相关信息合格问卷，7026份问卷（43．157％）为外科相关信息合格问卷。麻醉相关信息合格问卷显示，2014年我国共计麻醉科医师77926名，共计完成2766万例手术室内麻醉和1147万例手术室外麻醉，麻醉科主治医师平均完成634例手术室内麻醉和263例手术室外麻醉；每十万人人均麻醉科医师数为5．7名。各省市自治区每万人人均医师数（r=0．735，P〈0．05）、每十万人人均麻醉科医师数（r=0．537，P〈0．05）及每十万人人均麻醉例数（r=0．571，P〈0．05）与人均GDP呈正相关。每万人和每十万人人均麻醉科医师数最高的地区是北京，最低的地区是西藏；每十万人人均麻醉例数最高的地区是北京，最低的地区是山西。外科相关信息合格问卷显示，2014年我国外科主治医师与麻醉科主治医师比例为7．5：1．0。结论虽然我国麻醉科医师数量庞大，但是麻醉学科人力资源依旧相对缺乏；在不同省市、不同规模医院以及不同专业之间都存在明显的人力资源分布不均衡，经济是重要的影响因素之一。Objective To survey the current status of human resources of the Anesthesiology in Chi- na and investigate the reform direction of human resources allocation of Chinese medical and health system. Methods Chinese Society of Anesthesiology organized the investigation from March 1, 2015 to June 30, 2015. All the hospitals in which clinical anesthesia was carried out were investigated only in mainland Chi- na. The questionnaires contained hospital general information, anesthesia-related information and surgery-re- lated information. Results A total of 16 280 questionnaires were released and 14 076 questionnaires （86. 462%） were retrieved. There were 13 489 questionnaires （82. 856%） identified as qualified anesthesia- related information ones and 7 026 questionnaires （43. 157% ） identified as qualified surgery-related informa- tion ones. Qualified anesthesia-related information questionnaires showed that there were 77 926 anesthesiolo- gists in total in China, 27 660 000 patients in whom anesthesia was completed inside operating room （ OR ）and 11 470 000 cases outside OR, one attending anesthesiologist completed anesthesia in 634 cases inside OR and in 263 cases outside OR on average; the number of per capita anesthesiologists was 5.7 per 100 000 pop- ulation in 2014. The number of per capita physicians per 10 000 population （r = 0. 735, P〈0. 05） , the num- ber of anesthesiologists per 100 000 population （r = 0. 537, P〈0.05） and the number of per capita patients requiring anesthesia per 100 000 population （ r = 0. 571, P〈0.05） were all positively correlated with GDP per capita in various provinces and cities nationwide and autonomous regions. The area having the highest num- ber of per capita anesthesiologists per 10 000 and per 100 000 population was Beijing, the area having the lowest number was Tibet; the area having the highest number of per capita patients requiring anesthesia per 100 000 population was Beijing, the area having the lowest number was Shanxi. The qualified surgery-

关 键 词：麻醉学 问卷调查 卫生人力 

分 类 号：R197.1[医药卫生—卫生事业管理]