中国县域医院消化内镜学科现状:一项横断面研究  

Current status of endoscopy department of county hospitals in China:a cross-sectional study

作　　者：蔡梦溪 王天骄 辛磊 高野 王洛伟 李兆申 Cai Mengxi;Wang Tianjiao;Xin Lei;Gao Ye;Wang Luowei;LiZhaoshen(Department of Gastroenterology,The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院消化内科,上海200433

出　　处：《中华消化内镜杂志》2022年第11期885-888,共4页Chinese Journal of Digestive Endoscopy

摘　　要：目的调查我国县域医院消化内镜学科发展现状, 推动全国县域医院消化内镜学科能力提升。方法以网络填报的方式, 对2019年我国20个省、自治区、直辖市的县域医院消化内镜学科进行调查, 调查内容包含科室规模、消化内镜中心基本情况、临床诊疗能力、教学及学术能力4个方面。结果共纳入114家县域医院数据进行分析。2019年, 我国县域医院消化内科平均拥有床位38.9张、医师8.6名、内镜护士6.4名。消化内镜中心平均拥有主机3.1台、消化内镜11.0条。2019年平均每家县域医院消化专科门诊量2.2万例次、病房出院人数0.23万例次, 消化内镜诊疗量0.78万例次, 53家(46.5%)医院向上级医院转诊率<3%。在教学、学术能力方面, 114家医院中, 5家(4.4%)为中国医师协会消化内镜医师培训基地, 52家(45.6%)举办过地市级及以上学术会议, 21家(18.4%)在SCI收录期刊发表论文, 67家(58.8%)在核心期刊发表论文。结论大部分地区县域医院硬件设施齐全, 具备良好的医疗能力、管理水平和良好的科研团队建设, 达到县域医院医疗服务能力推荐标准。ObjectiveTo investigate the current status of endoscopy department of county hospitals in China,and to improve the construction quality of the endoscopy department of county hospitals.MethodsCounty hospitals from 20 provinces,autonomous regions and municipalities in 2019 were investigated in this study through an online survey.Questions were about the department scale,basic information of the endoscopy center,clinical diagnosis and treatment ability,teaching and academic ability.ResultsA total of 114 county hospitals were included.The department of gastroenterology in county hospitals owned 38.9 beds,8.6 doctors and 6.4 nurses on average in 2019.The mean host and endoscope were 3.1 and 11.0 respectively in each center.The mean outpatient,discharge and endoscopy procedure were 22 thousand,2.3 thousand and 7.8 thousand respectively.The referral rate of 53(46.5%)hospitals to higher-level hospitals was less than 3%.In terms of teaching and academy,5(4.4%)in 114 hospitals had endoscopist training bases of Chinese Medical Association.Fifty-two(45.6%)county hospitals hosted academic conferences at the city level and above,21(18.4%)published SCI papers and 67(58.8%)published papers in key Chinese journals.ConclusionEndoscopy centers of most county hospitals are well constructed with comprehensive facilities,qualified medical ability,management,and a research team,which meets the recommendation level of service.

关 键 词：医院 县 消化内镜 现状调查 

分 类 号：R197.323[医药卫生—卫生事业管理]