中国颅底外科医生从业现状的调查与分析  

Investigation and analysis of working conditions of Chinese skull base neurosurgeons

作　　者：薛湛[1] 马顺昌 肖丹 原林皓 贾旺[1] 张力伟[1] Xue Zhan;Ma Shunchang;Xiao Dan;Yuan Linhao;Jia Wang;Zhang Liwei(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Beijing Neurosurgical Institute,Capital Medical University,Beijing 100070,China;China National Clinical Research Center for Neurological Diseases,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,100070 [2]首都医科大学,北京市神经外科研究所,100070 [3]国家神经系统疾病临床医学研究中心,北京100070

出　　处：《中华神经外科杂志》2021年第6期612-616,共5页Chinese Journal of Neurosurgery

基　　金：北京市属医院科研培育计划(PX2019017)。

摘　　要：目的了解我国颅底外科从业医生的现状,为学科发展提供数据支持。方法采用微信的形式于2019年11-12月对全国31个省市自治区的357家医院从事颅底外科工作的临床医生进行问卷调查,,共有557人参与。从中获取颅底外科从业医生的基本信息、教育培训、执业情况、收入及满意度、科研工作、医院建设等方面的数据.并对整个群体进行横断面分析研究。结果颅底外科从业医生中,男性占99.1%(552/557);年龄[中位数(四分位数)]为42.2(36,48)岁。博士学位占.33.9%(189/557),硕士学位占39.0%(217/557);高级职称占72.2%(402/557)。具备开展IV级手术.能力的医生占66.1%(368/557),其中研究生学历占76.9%(283/368),高级职称者占90.5%(333/368),就职于三级医院者占91.3%(336/368).就职于省级医院者占57.9%(213/368)。共有98.6%(549/557)的颅底外科从业医生参加过各类进修学术会议.培训班;66.2%(369/557)的颅底外科从业医生有主持和参与各类课题研究的经历。84.0%(468/557)的颅底外科从业医生对现有的薪酬不满意。结论我国颅底外科从业医生主要集中于大型医院,其学历、职称较高,从事复杂手术者较多,工作压力较大,对继续教育和科研的需求较迫切,但对现有薪酬不满意。Objectives To investigate the working status of Chinese skull base neurosurgeons and to provide data support for disciplinary development.Methods A questionnaire survey of clinicians engaged in skull base surgery in 357 hospitals in 31 provinces,municipalities and autonomous regions across the country of China was conducted using WeChat from November 1,2019 to December 10,2019.A total of 557 people participated.We obtained their basic information,education and training,practice status,income and satisfaction,scientific research,hospital construction and other aspects of skull base surgery practitioners data,and conducted cross-sectional analysis on the entire group.Results Among practitioners of skull base surgeiy,male acc ounted for 99.1%(552/557);the age[median(quartiles)]was 42.2 years(36 and 48 years).Physicians with doc'lor^s degree accounted for 33.9%(189/557),and those with master's degree accounted for 39.0%(217/557).Physicians with senior title accounted for 12.2%(402/557).Among all skull base surgeons in this series,66.1%(368/557)were qualified to perform grade IV surgery,of whom 76.9%(283/368)had a postgraduate degree,90.5%(333/368)had a senior professional title,and 91.3%were employed in a tertian hospital(336/368),and 57.9%(213/368)were employed in provincial hospitals.A total of 98.6%(549/557)of skull base surgeons had participated in various advanced studies,academic conferences,and training courses;66.2%(369/557)of skull base surgeons had the experience of presiding and partic ipating in various research projects.In this investigation,84.07c(468/557)of skull base surgery practitioners were not satisfied with their current salaries.Conclusions Chinese skull base surgeons are mainly working at large hospitals.They have relatively higher academic qualifications and professional titles,are more involved in complicated operations,and have greater pressure at work.They have more urgent needs for continuing education and scientific research,but are not satisfied with the current salaries.

关 键 词：医生 数据收集 横断面研究 颅底外科 从业现状 

分 类 号：R192.3[医药卫生—卫生事业管理]