健康体检(管理)机构2019年度主检医师配置情况分析  

Analysis of the allocation of chief examining physicians in health examination(management)institutions in 2019

作　　者：林任 李颖[1] 万里[2] 魏丽[3] 夏普 唐世琪[1] 徐丽娟[1] Lin Ren;Li Ying;Wan Li;Wei Li;Xia Pu;Tang Shiqi;Xu Lijuan(Physical Examination Center,Renmin Hospital of Wuhan University,Wuhan 430060,China;Physical Examination Center,Jingzhou First People′s Hospital,Jingzhou 434000,China;Department of Health Management Medicine,Gongan County People′s Hospital,Jingzhou 434300,China)

机构地区：[1]武汉大学人民医院健康管理中心,武汉430060 [2]荆州市第一人民医院健康管理中心,荆州434000 [3]荆州市公安县人民医院健康管理医学科,荆州434300

出　　处：《中华健康管理学杂志》2023年第12期904-908,共5页Chinese Journal of Health Management

基　　金：湖北省卫生健康委面上项目(WJ2023M083)。

摘　　要：目的分析健康体检(管理)机构2019年度主检医师配置情况。方法本研究为现况研究。采用普查法,通过问卷调查收集5428家健康体检(管理)机构2019年度基本情况(机构名称、机构地址、机构性质、隶属关系、机构类别和机构级别等)和主检医师配置情况(性别、出生年份、专职与否、执业类型、职称等级和从事健康体检与管理工作的时间等),采用卡方检验对数据进行统计分析。结果主检医师执业类型上,公立和社会办机构内科医师占比分别为72.84%和68.23%,外科医师占比分别为27.16%和31.77%,两者分布差异有统计学意义(χ^(2)=19.632,P<0.05);三级、二级、一级和未定级机构内科医师占比分别为75.76%、69.14%、68.60%和68.78%,外科医师占比分别为24.24%、30.56%、31.40%和31.22%,两者分布差异有统计学意义(χ^(2)=47.682,P<0.05)。主检医师职称等级上,公立和社会办机构副高级占比分别为69.56%和73.66%、高级占比分别为30.44%和26.34%,两者分布差异有统计学意义(χ^(2)=15.276,P<0.05);三级、二级、一级和未定级机构副高级占比分别为62.72%、75.55%、78.40%和74.51%,高级占比分别为37.28%、24.45%、21.60%和25.49%,两者分布差异有统计学意义(χ^(2)=168.462,P<0.05)。全国主检医师平均配置人数为1.67人,其中华北地区最多,为2.10人,西南地区最少,为1.49人。全国主检医师资质达标率为33.37%,其中仅华北地区(48.64%)和华东地区(37.05%)超过全国平均水平,东北地区最低,为24.01%。结论我国主检医师配置存在区域差异,并且队伍能力水平发展不平衡、不充分的矛盾依然突出。Objective To analyze the allocation of chief examining physicians in health examination(management)institutions in 2019.Methods A current situation study.Using a census method,a questionnaire survey was conducted to collect basic information(such as institution name,address,nature,affiliation,category,and level)and the allocation of chief physicians(such as gender,year of birth,full-time or part-time,type of practice,level of professional title,and years of engagement in health examination and management work)of 5428 health examination(management)institutions in 2019.The collected data were statistically analyzed using chi-square test.Results In terms of the type of practice of chief physicians,the proportions of internal medicine physicians in public and privately-run institutions was 72.84%and 68.23%,respectively,with a statistically significant difference in distribution(χ^(2)=19.632,P<0.05);the proportions of surgeons was 27.16%and 31.77%,respectively.The proportions of internal medicine physicians in third-,second-,first-,and unclassified-level institutions was 75.76%,69.14%,68.60%,and 68.78%,respectively;the proportions of surgeons was 24.24%,30.56%,31.40%,and 31.22%,respectively;with a statistically significant difference in distribution(χ^(2)=47.682,P<0.05).In terms of the level of professional title of chief physicians,the proportions of associate senior physicians in public and privately-run institutions was 69.56%and 73.66%,respectively,and the proportions of senior physicians was 30.44%and 26.34%,respectively,with a statistically significant difference in distribution(χ^(2)=15.276,P<0.05);the proportions of associate senior physicians in third-,second-,first-,and unclassified-level institutions was 62.72%,75.55%,78.40%,and 74.51%,respectively,with the proportions of senior physicians being 37.28%,24.45%,21.60%,and 25.49%,respectively,with a statistically significant difference in distribution(χ^(2)=168.462,P<0.05).The average number of chief physicians per institution in China was 1.67,with the hi

关 键 词：体格检查 主检医师 健康管理 工作负荷 资源配置 

分 类 号：R197[医药卫生—卫生事业管理]