西部地区临床营养科服务能力调查与分析  

Investigation and analysis of service capability of clinical nutrition departments in western China

作　　者：李雪梅[1] 石磊[1] 张勇胜[2] 李莉[3] 郭瑞芳 胡怀东[5] 翁敏 杨大刚 辛宝 毛杰[9] 熊睿[10] 赵茜[11] 胡雯[1] LI Xuemei;SHI Lei;ZHANG Yongsheng;LI Li;GUO Ruifang;HU Huaidong;WENG Min;YANG Dagang;XIN Bao;MAO Jie;XIONG Rui;ZHAO Qian;HU Wen(Department of Clinical Nutrition,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Clinical Nutrition,the First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi 530000,P.R.China;Department of Clinical Nutrition,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830000,P.R.China;Clinical Nutrition Center,Inner Mongolia People’s Hospital,Inner Mongolia 010000,P.R.China;Department of Clinical Nutrition,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,P.R.China;Department of Clinical Nutrition,First Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650000,P.R.China;Department of Clinical Nutrition,the Affiliated Hospital of Guizhou Medical University,Guiyang,Guizhou 550000,P.R.China;Public Health School,Shaanxi University of Chinese Medicine,Xi'an,Shaanxi 712046,P.R.China;Department of General Surgery,Lanzhou University Second Hospital,Lanzhou,Gansu 730030,P.R.China;Department of Clinical Nutrition,Qinghai Provincial People’s Hospital,Xining,Qinghai 810007,P.R.China;Clinical Nutrition Department,Health Management Center,People’s Hospital of Ningxia Hui Autonomous Region,Yinchuan,Ningxia 750000,P.R.China)

机构地区：[1]四川大学华西医院临床营养科,成都610041 [2]广西医科大学第一附属医院临床营养科,南宁530000 [3]新疆医科大学第一附属医院临床营养科,乌鲁木齐830000 [4]内蒙古自治区人民医院临床营养中心,呼和浩特010000 [5]重庆医科大学附属第二医院临床营养科,重庆400010 [6]昆明医科大学第一附属医院临床营养科,昆明650000 [7]贵州医科大学附属医院临床营养科,贵阳550000 [8]陕西中医药大学公共卫生学院,西安712046 [9]兰州大学第二医院普外科,兰州730030 [10]青海省人民医院临床营养科,西宁810007 [11]宁夏回族自治区人民医院健康管理中心临床营养科,银川750000

出　　处：《华西医学》2021年第9期1239-1243,共5页West China Medical Journal

基　　金：市场监督管理总局特殊食品司委托项目(专-2019-07)。

摘　　要：目的了解中国西部临床营养科的发展情况,分析存在的主要问题和制约其发展的因素,为推动西部临床营养科的建设与发展和制定临床营养工作管理规范提供依据。方法2019年3月,采用问卷对中国西部(除西藏外)的11个省/直辖市/自治区的部分医院进行临床营养科业务开展情况调查。结果共有230家医院参与调查,临床营养科多开设门诊(76.1%),年平均门诊量884人次;大多开展了营养查房/随访工作(86.5%),平均查房/随访3876人次。大部分医院的临床营养科软硬件设施不齐全;诊疗收费项目错综复杂,收费标准参差不齐,仍有47.0%的医院临床营养科未开设诊疗收费项目。被调查医院认为人才队伍是排名第一的制约临床营养科发展的因素,定期技能培训是排名第一的急需得到四川大学华西医院临床营养学科联盟帮扶的项目。结论西部地区未来应增加临床营养科的硬件和软件等设施的投入,为维持科室运营争取政策支持,并制定统一标准以规范学科发展。Objective To understand the development of clinical nutrition departments in western China,analyze the main problems and factors restricting its development,and provide a basis for promoting the construction and development of clinical nutrition departments in western China and formulating clinical nutrition management standards.Methods Questionnaires were used to investigate the development of clinical nutrition services in some hospitals in 11 provinces/municipalities/autonomous regions in western China(except Tibet)in March 2019.Results A total of 230 hospitals participated in the survey.Most clinical nutrition departments set up outpatient clinics(76.1%),with an average annual number of outpatients of 884;most of them carried out nutrition inspection visit/follow-up work(86.5%),and the average number of inspection visit/follow-ups was 3876.Most hospitals had incomplete hardware and software facilities in the clinical nutrition departments.The charging items for diagnosis and treatment were complicated,and the charging standards were uneven.There were still 47.0%of the clinical nutrition departments of hospitals that did not offer diagnosis and treatment charging items.The surveyed hospitals believed that the talent team was the number one factor restricting the development of the clinical nutrition department,and regular skills training was the number one project that urgently needed the help of the Clinical Nutrition Discipline Alliance of West China Hospital of Sichuan University.Conclusion In the future,the western region should increase the investment in hardware and software facilities,strive for policy support for maintaining department operations and formulate unified standards to regulate the development of disciplines.

关 键 词：临床营养 现状调查 学科建设 人才队伍 信息化建设 

分 类 号：R197.323[医药卫生—卫生事业管理]