佛山市医疗机构康复医学服务能力调查分析  

Investigation and analysis of rehabilitation medical service ability of medical institutions in Foshan City

作　　者：黄文柱[1] 王志军[1] 周惠嫦[2] 谢韶东[3] 刘震[2] 罗子芮 丁德权 赵勇 洪文扬 盘庆东 崔淑仪 严文[1] Huang Wenzhu;Wang Zhijun;Zhou Huichang;Xie Shaodong;Liu Zhen;Luo Zirui;Ding Dequan;ZhaoYong;Hong Wenyang;Pan Qingdong;Cui Shuyi;Yan Wen(Rehabilitation Research Institute,The Fifth People's Hospital of Foshan City,Foshan Fifth Hospital Affiliated to Foshan University of Science and Technology,Foshan 528211,China;Department of Rehabilitation Medicine,The First People's Hospital of Foshan City,Foshan 528200,China;Department of Rehabilitation Medicine,Foshan Hospital of Traditional Chinese medicine,Foshan 528200,China;Department of Rehabilitation Medicine,The Second People's Hospital of Foshan,Foshan 528200,China;Department of Rehabilitation Medicine,Foshan Chancheng Central Hospital,Foshan 528200,China;Department of Children Rehabilitation,Nanhai District Maternal and Child Health Care Hospital,Foshan City,Foshan 528200,China;Department of Rehabilitation Medicine,The Fourth People's Hospital,Nanhai District,Foshan City,Foshan 528200,China;Department of Rehabilitation Medicine,Shunde District Hospital of Chinese Medicine of Foshan City,Foshan 528200,China;Foshan Association of Rehabilitation Medicine,Foshan 528211,China)

机构地区：[1]佛山市第五人民医院佛山科学技术学院附属佛山第五医院康复研究所,528211 [2]佛山市第一人民医院康复医学科,528200 [3]佛山市中医院康复医学科,528200 [4]佛山市第二人民医院康复医学科,528200 [5]佛山市禅城中心医院康复医学科,528200 [6]佛山市南海区妇幼保健院儿童康复科,528200 [7]佛山市南海区第四人民医院康复医学科,528200 [8]佛山市顺德区中医院康复医学科,528200 [9]佛山市康复医学会,528211

出　　处：《国际医药卫生导报》2020年第5期636-640,共5页International Medicine and Health Guidance News

基　　金：佛山市十三五医学重点专科建设项目(FSZDZK135033)。

摘　　要：目的调查分析佛山市医疗机构康复医学服务能力现状,提出改进措施。方法2018年10月9日佛山市康复医学会通过发放调查表格,专家实地调研、电话访问、机构座谈、专家咨询等多种调查形式进行资料核对,收集各医疗机构对康复医学服务能力建设的意见、建议,分析调查数据资料。结果佛山市设有康复医学科、提供康复服务的医疗机构分别为78.80%和87.96%;康复医学科床位数占医疗机构总床位数的7.17%,其中三级综合医院占同级总床位数为3.25%,二级综合医院占同级医疗机构总床位数为6.52%。从事康复诊疗医师注册为康复医学执业范围者比例7.16%。二级以下综合医院康复治疗师不足,康复工程、精神心理治疗师缺乏;康复治疗师学历及职称偏低。部分医院康复服务人员外出培训学习机会少。结论佛山市三级康复医疗服务体系初具规模,医疗机构康复服务能力在国内处于靠前水平。仍存在整体康复服务能力不足,缺乏高水平的三级康复专科医院,专业康复人员缺乏,专业水平及康复医学科管理都有待进一步提升,双向转诊、分级诊疗有待加强等问题。Objective To investigate and analyze the current situation of rehabilitation medical service capacity of medical institutions in Foshan City,and put forward improvement measures.Methods Through the distribution of investigation forms,experts'on-the-spot investigation,telephone interview,institutional discussion,expert consultation,and other forms of investigation to check the data,the opinions and suggestions of various medical institutions on the capacity-building of rehabilitation medical services were collected,and the investigation data was analyzed.Results In Foshan City,78.80%and 87.96%of the medical institutions had rehabilitation medicine department and provided rehabilitation services.The number of beds in rehabilitation medicine department accounted for 7.17%of the total number of beds in medical institutions,the proportion was 3.25%in grade III general hospitals and 6.52%in grade II general hospitals.7.16%of them were registered as rehabilitation doctors.There were no enough rehabilitation therapists in grade II and below general hospitals,lack of rehabilitation engineering and psychotherapists.Rehabilitation service personnel had few opportunities to go out for training and study in some hospitals.Conclusions The three-level rehabilitation medical service system of Foshan City has already taken shape,and the rehabilitation service capacity of medical institutions is in the top level in China.There are still some problems such as insufficient overall rehabilitation service capacity,lack of high-level grade III rehabilitation specialized hospital,lack of professional rehabilitation personnel,further improvement of professional level and management of rehabilitation medicine department,two-way referral,hierarchical diagnosis and treatment.

关 键 词：康复医学 能力 调查 分析 

分 类 号：R197[医药卫生—卫生事业管理]